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C-0144 - Fat pad impingement syndromes of knee - under diagnosed cause for knee pain

v. sandeep1, k. mikkineni1, k. santh2, S. Raghu Teja3; 1 Gannavaram/IN 2 Vijayawada/IN 3 Gannavaram, Vijayawada/IN Type: Scientific Exhibit
Area of Interests: Musculoskeletal joint, Musculoskeletal soft tissue, Extremities
Imaging Technique: MR
Procedure: Diagnostic procedure
Special Focuses: Education and training, Edema
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Aims and objectives: There are many causes of knee pain of which impingement of the fat pads is relatively under diagnosed. These predominantly include extra synovial impingement and inflammation syndromes such as Hoffa disease, impingement on quadriceps fat pad, pre femoral fat pad, pericruciate fat, patello femoral fr[...]

Methods and materials: A total number of about 500 cases from 4 yrs period (2012 to 2016) were reviewed retrospectively from two hospitals. We have used all the above mentioned seven conditions as search words in the data systems of two hospitals and collected the cases. All these cases were reported by one of the two rad[...]

Results: In our series, the incidence of diagnosed cases is 9.2% of the total studies, (46 out of 500 cases), hence these pose significant diagnostic importance. We have reviewed these 46 patients and excluded the acute traumatic patients and analyzed findings in 22 chronic knee pain patients. 22 out of 46 p[...]

Conclusion: Extra synovial impingement & inflammation syndromes of the knee are under diagnosed. They should be looked for in patients presenting with sub acute and chronic knee pain. Radiologists should be familiar with these edema patterns. MR imaging is the best modality to diagnose.   These finding[...]

Personal information: 1. Dr.Velicheti sandeep. Asst.Professor, Psims&RF,Chinoutpally,India.2.kavya mikkineni,Junior resident,3.Dr. Santa kumar,asst.professor 4. Dr.Raghu Teja, Senior Resident.

References: F. Draghi et al, Hoffa’s fat pad abnormalities, knee pain and magnetic resonance imaging in daily practice : Insights Imaging (2016) 7:373–383. Nicolavos tsavalas et al, Suprapatellar Fat-Pad Mass Effect: MRI Findings and Correlation With Anterior Knee Pain, AJR 2013; 200:W291–W296. Skaf, A.Y., Hern[...]

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