What is edema in the Superolateral Hoffa fat pad?

What is edema in the Superolateral Hoffa fat pad?

Superolateral Hoffa’s fat pad (SHFP) oedema is characterized by anterior knee pain and tenderness in the lower pole of the patella and is exacerbated by hyperextension [1]. It is caused by friction between the patellar tendon and the lateral femoral condyle. The MOST study re- ported that the prevalence was 13.4% [2].

What does the infrapatellar fat pad separate?

Other Structures infrapatellar fat pad (retropatellar fat pad): a distinct mass of fat behind the patellar tendon extending into the anterior joint of the knee. Also called Hoffa fat.

How is Hoffa syndrome diagnosed?

It is probably caused by repetitive micro trauma resulting in inflammatory, haemorrhagic and fibrous changes to Hoffa’s fat pad. The final outcome of the disease is an osteochondroma. The diagnosis is established by MRI, which demonstrates inflammation of the fat pat.

Does fat pad impingement require surgery?

If non-invasive treatments don’t help recovery, surgery may be your only option. This will involve full or partial removal of the fat pad through arthroscopy. Most patients recover within six weeks of surgery.

How do you treat Infrapatellar fat pad?

The initial treatment for infrapatellar fat pad syndrome aims to reduce pain and inflammation, which you can try to do with rest (see self-help above) and medicines. Further treatments include taping your knee and physiotherapy to gradually get you back to your usual activities.

How do you treat fat pad impingement?

Treatment

1. PRICE principles. Rest and avoiding aggravating activities. Apply Ice or cold therapy to reduce pain and inflammation.
2. Electrotherapy. A professional practitioner may use electrotherapy such as ultrasound and TENS.
3. Patella taping. Taping the patella is known to be highly effective in fat pad impingement.

What helps a fat pad impingement?

“Generally, ice — a lot of ice — will help bring down the swelling that results from the impingement. Rest, over-the-counter anti-inflammatories, and strength-building and stretch exercises are also usually advocated. Sometimes, the area can be taped so that the fat pad is not impinged on.

What causes fat pad impingement?

Infrapatellar fat pad impingement can occur for many reasons, including: Overload of the extensor (quadriceps) mechanism such as when running and when kicking a ball during football. Hyperextension of the knee (over straightening of the knee), e.g. in gymnastics/dance.

How long does it take to recover from fat pad impingement?

Initial recovery can take between 8-12 weeks and full recovery between 3-6 months (6, 7). If left untreated, symptoms can return if you go back to usual activities, without having gone through an appropriate rehabilitation programme (6).

What does the infrapatellar fat pad do?

The infrapatellar fat pad (IFP), also known as Hoffa’s fat pad, is an intracapsular, extrasynovial structure that fills the anterior knee compartment, and is richly vascularized and innervated.

What is patellar fat pad?

The fat pad is a lump of fatty tissue inside the knee that sits directly behind (deep to) the patellar tendon.

What is an anterior fat pad?

Anterior fat pad sign: Anterior fat sign is a soft tissue disorder where refers to the elevation of the fat pad at the front of the elbow joint that can only be seen on a lateral X-ray.

What is a fat pad knee injury?

Knee Fat Pad Impingement. The infrapatellar fat pad is also sometimes known as Hoffa’s pad. It is a soft tissue that lies beneath the kneecap which can get impinged, causing knee pain. This knee injury can be caused by a severe impact which traps the pad between the patella and femoral condyle.