An unusual presentation of Hoffa's disease in an elderly patient with no trauma history

A case report

Jong Hoon Park, Ji Hun Park, An Hee Lee, Dae Hee Lee

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Hoffa's fat pad disease usually occurs in young active patients participating in activities involving repetitive microtrauma to the knee joint. No specific radiographic findings associated with the disease has yet been defined. We report an elderly patient who presented with a 12-month anterior knee pain and limited knee extension, without any trauma history. Radiographs showed a calcified soft tissue mass in the Hoffa's fat pad. Magnetic resonance imaging showed the lesion had a generalized heterogeneous hypointensity on T1- and T2-weighted images and a poorly defined margin. The lesion was excised arthroscopically, and histopathological examination revealed fat pad adipocyte necrosis, mucoid degeneration, and dystrophic calcification, suggesting Hoffa's disease. The present report indicates that Hoffa's disease can occur in elderly patients with no trauma history, can be associated with a calcified lesion on radiographs, and can be linked to infrapatellar fat pad degeneration in such patients.

Original languageEnglish
Pages (from-to)195-199
Number of pages5
JournalActa Orthopaedica et Traumatologica Turcica
Volume45
Issue number3
DOIs
Publication statusPublished - 2011 Aug 8

Fingerprint

Adipose Tissue
Wounds and Injuries
Knee
Knee Joint
Adipocytes
Necrosis
Magnetic Resonance Imaging
Pain

Keywords

  • Degeneration
  • Fat pad
  • Hoffa's disease
  • Knee

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

An unusual presentation of Hoffa's disease in an elderly patient with no trauma history : A case report. / Park, Jong Hoon; Park, Ji Hun; Lee, An Hee; Lee, Dae Hee.

In: Acta Orthopaedica et Traumatologica Turcica, Vol. 45, No. 3, 08.08.2011, p. 195-199.

Research output: Contribution to journalArticle

@article{7bd887eab81a4b47bffd0659dc94c8e7,
title = "An unusual presentation of Hoffa's disease in an elderly patient with no trauma history: A case report",
abstract = "Hoffa's fat pad disease usually occurs in young active patients participating in activities involving repetitive microtrauma to the knee joint. No specific radiographic findings associated with the disease has yet been defined. We report an elderly patient who presented with a 12-month anterior knee pain and limited knee extension, without any trauma history. Radiographs showed a calcified soft tissue mass in the Hoffa's fat pad. Magnetic resonance imaging showed the lesion had a generalized heterogeneous hypointensity on T1- and T2-weighted images and a poorly defined margin. The lesion was excised arthroscopically, and histopathological examination revealed fat pad adipocyte necrosis, mucoid degeneration, and dystrophic calcification, suggesting Hoffa's disease. The present report indicates that Hoffa's disease can occur in elderly patients with no trauma history, can be associated with a calcified lesion on radiographs, and can be linked to infrapatellar fat pad degeneration in such patients.",
keywords = "Degeneration, Fat pad, Hoffa's disease, Knee",
author = "Park, {Jong Hoon} and Park, {Ji Hun} and Lee, {An Hee} and Lee, {Dae Hee}",
year = "2011",
month = "8",
day = "8",
doi = "10.3944/AOTT.2011.2510",
language = "English",
volume = "45",
pages = "195--199",
journal = "Acta Orthopaedica et Traumatologica Turcica",
issn = "1017-995X",
publisher = "Ekin Medical Publishing",
number = "3",

}

TY - JOUR

T1 - An unusual presentation of Hoffa's disease in an elderly patient with no trauma history

T2 - A case report

AU - Park, Jong Hoon

AU - Park, Ji Hun

AU - Lee, An Hee

AU - Lee, Dae Hee

PY - 2011/8/8

Y1 - 2011/8/8

N2 - Hoffa's fat pad disease usually occurs in young active patients participating in activities involving repetitive microtrauma to the knee joint. No specific radiographic findings associated with the disease has yet been defined. We report an elderly patient who presented with a 12-month anterior knee pain and limited knee extension, without any trauma history. Radiographs showed a calcified soft tissue mass in the Hoffa's fat pad. Magnetic resonance imaging showed the lesion had a generalized heterogeneous hypointensity on T1- and T2-weighted images and a poorly defined margin. The lesion was excised arthroscopically, and histopathological examination revealed fat pad adipocyte necrosis, mucoid degeneration, and dystrophic calcification, suggesting Hoffa's disease. The present report indicates that Hoffa's disease can occur in elderly patients with no trauma history, can be associated with a calcified lesion on radiographs, and can be linked to infrapatellar fat pad degeneration in such patients.

AB - Hoffa's fat pad disease usually occurs in young active patients participating in activities involving repetitive microtrauma to the knee joint. No specific radiographic findings associated with the disease has yet been defined. We report an elderly patient who presented with a 12-month anterior knee pain and limited knee extension, without any trauma history. Radiographs showed a calcified soft tissue mass in the Hoffa's fat pad. Magnetic resonance imaging showed the lesion had a generalized heterogeneous hypointensity on T1- and T2-weighted images and a poorly defined margin. The lesion was excised arthroscopically, and histopathological examination revealed fat pad adipocyte necrosis, mucoid degeneration, and dystrophic calcification, suggesting Hoffa's disease. The present report indicates that Hoffa's disease can occur in elderly patients with no trauma history, can be associated with a calcified lesion on radiographs, and can be linked to infrapatellar fat pad degeneration in such patients.

KW - Degeneration

KW - Fat pad

KW - Hoffa's disease

KW - Knee

UR - http://www.scopus.com/inward/record.url?scp=79961073658&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79961073658&partnerID=8YFLogxK

U2 - 10.3944/AOTT.2011.2510

DO - 10.3944/AOTT.2011.2510

M3 - Article

VL - 45

SP - 195

EP - 199

JO - Acta Orthopaedica et Traumatologica Turcica

JF - Acta Orthopaedica et Traumatologica Turcica

SN - 1017-995X

IS - 3

ER -