Fat Pad Syndrome

Definition

 

Hoffa's syndrome

- impingement of the fat pad with knee ROM

 

Epidemiology

 

Rare

Diagnosis of exclusion

 

Theory

 

May be more prevalent in patients with intact ligamentum mucosum

 

Diagnosis

 

Hoffa's sign

- apply pressure to fat pad each side of patella tendon with knee in flexion

- extend knee

- will cause impingement

 

HCLA

- behind patella tendon into fat pad

- will relieve pain

 

MRI

 

See increased signal in fat pad

 

Fat Pad Impingement MRIFat Pad Impingement 2