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Infrapatellar (Hoffa’s) Fat Pad Conditions

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Common Pediatric Knee Injuries

Abstract

The infrapatellar fat pad (IPFP), located in the anterior compartment of the knee, is frequently a source of pain for athletes in sports involving terminal extension of the knee. Most often, impingement of the IPFP between the femur and the tibia is the source of pain; however, other pathology is possible. Hemangiomas, synovial cysts, and synovial sarcomas have been observed in the pediatric population. IPFP herniation through the lateral retinaculum has been described, as well.

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References

  1. Benninger B (2016) Knee. In: Gray’s anatomy, 40th ed. Standring S (Ed). London: Elsevier. 2016, p 1395.

    Google Scholar 

  2. Bernhardt DT. Overuse injuries of the knee. In: Harris SS, Anderson SJ, editors. Care of the young athlete. 2nd ed. Elk Grove Village, Illinois: American Academy of Orthopedic Surgeons, American Academy of Pediatrics; 2010. p. 421.

    Google Scholar 

  3. Dragoo JL, Johnson C. McConnell evaluation and treatment of disorders of the infrapatellar fat pad. J Sports Med. 2012;42:51.

    Article  Google Scholar 

  4. Hannon J, Bardenett S, Singleton S, Garrison JC. Evaluation, treatment, and rehabilitation implications of the infrapatellar fat pad. Sports Health. 2016;8(2):167–71.

    Article  Google Scholar 

  5. Helpert C, Davies AM, Evans N, Grimer RJ. Differential diagnosis of tumours and tumour-like lesions of the infrapatellar (Hoffa’s) fat pad: pictorial review with an emphasis on MR imaging. Eur Radiol. 2004;14(12):2337–46.

    Article  CAS  Google Scholar 

  6. Jacobson JA, Lenchik L, Ruhoy MK, Schweitzer ME, Resnick D. MR imaging of the infrapatellar fat pad of Hoffa. Radiographics. 1997;17(3):675–91.

    Article  CAS  Google Scholar 

  7. Albergo JI, Gaston CLL, Davies M, Abudu AT, Carter SR, Jeys LM, Tillman RM, Grimer RJ. Hoffa’s fat pad tumours: what do we know about them? Int Orthop. 2013;37:2225–9.

    Article  Google Scholar 

  8. Kohn D, Deiler S, Rudert M. Arterial blood supply of the infrapatellar fat pad. Anatomy and clinical consequences. Arch Orthop Trauma Surg. 1995;114:72–5.

    Article  CAS  Google Scholar 

  9. Larbi A, Cyteval C, Hamoui M, Dallaudiere B, Zarqane H, Viala P, et al. Hoffa’s disease: a report on 5 cases. Diagn Interv Imaging. 2014;95:1079–84.

    Article  CAS  Google Scholar 

  10. Mace J, Bhatti W, Anand S. Infrapatellar fat pad syndrome: a review of anatomy, function, treatment and dynamics. Acta Orthop Belg. 2016;82:94–101.

    PubMed  Google Scholar 

  11. Rocha R, Ramos R, Campos J et al. Focal herniation of Hoffa’s fat pad through a retinaculum defect. 2011.Obtained 11/26/2019 at http://www.eurorad.org/case.php?id=9401.

  12. Wickham MQ, Erickson GR, Gimble JM, Vail TP, Guilak F. Multipotent stromal cells derived from the infrapatellar fat pad of the knee. Clin Orthop Relat Res. 2003;412:196–212.

    Article  Google Scholar 

  13. Menzies-Wilson R, Twyman R. A case report: painful Hoffa’s fat pad herniation. Current Orthopaedic Practice. 2018;29(5):510–1.

    Article  Google Scholar 

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Correspondence to Valerie E. Cothran .

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Cothran, V.E., Dani, S. (2021). Infrapatellar (Hoffa’s) Fat Pad Conditions. In: Coleman, N. (eds) Common Pediatric Knee Injuries. Springer, Cham. https://doi.org/10.1007/978-3-030-55870-3_15

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  • DOI: https://doi.org/10.1007/978-3-030-55870-3_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-55869-7

  • Online ISBN: 978-3-030-55870-3

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