Cuituny – Romero AK, Onofre – Castillo JJ, Valero – Castillo R, Valdés - Martínez FJ, Santana - Vela IA, Torres – Gómez E, De Alba – Guevara CA

Language: Spanish
References: 10
Page: 5-11
PDF size: 585.18 Kb.

ABSTRACT

Objective. Establish whether there is a relationship between increased size of Hoffa’s fat pad and gonalgia.
Material and methods. We studied 86 patients with gonalgia evaluated by analog pain scale. We measured the upper, middle, and lower diameters of Hoffa’s fat pad in sequence of proton density at the level of the anterior cruciate ligament (ACL) and in sequences T1, T2, and magnetic resonance gradient echo.
Results. Edema of Hoffa’s fat pad was found in 57% of the patients and prominence in 40%; its presence suggests significant findings in diagnosis of patients who report gonalgia.
Discussion. No relationship was proven between knee pain and increased diameters of Hoffa’s fat pad; however, a possible relationship cannot be ruled out.
Conclusion. Pearson tests showed that there is no relationship between the pain reported by patients and the different fat pad diameters measured.

REFERENCES

1. Stoller DW. Magnetic Resonance Imaging in Orthopaedics and Sports Medicine, 3rd Edition. Filadelfia: Lippincott Williams & Wilkins, 2007:308-720.

2. Eivazi MG, Selfe J. Infrapatellar fat pad lesions: theoretical considerations and practical implications. Physical Therapy Reviews 2008;13:11-6.

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

4. Brushøj C, Hölmich P, Nielsen MB, Albrecht-Beste E. Acute patellofemoral pain: aggravating activities, clinical examination, MRI and ultrasound findings. Br J Sports Med 2008;42:64–7.

5. Magee, T. Three-Tesla MR Imaging of the Knee. Radiologic Clinics of North America 2008;16:1055–62.

6. Subhawong TK, Eng J, Carrino JA, Chhabra. A. Superolateral Hoffa’s fat pad edema: association with patellofemoral maltracking and impingement. Am J Roentgenol 2010;195:1367–73.

7. Campagna R, Presis E, Biau DJ, Guerini, H, Feydy A, Thevenin FS, et al. Is superolateral Hoffa fat pad edema a consequence of impingement between lateral femoral condyle and patellar ligament. Radiology 2012;263:469-74.

8. Schweitzer ME, Falk A, Pathria M, Brahme S, Hodler J, Resnick D. MR Imaging of the knee: Can changes in the Intracapsular fat pads can be used as a sign of synovial proliferation in the presence of an effusion? AJR 1992;160:823-6.

9. Keats, T, Sistrom C. Atlas de Medidas Radiológicas. Séptima edición. Editorial Harcourt. España 2002;7:260-2.

10. Patel SJ, Kaplan PA, Dussaul RG, Kahler DM. Anatomy and clinical significance of the horizontal cleft in the infrapatellar fat pad of the knee: MR Imaging. AJR 1998;170:1551-5.