scholarly journals Unusual presentation of giant ganglion cyst from the infrapatellar (Hoffa’s) fat pad of knee: a case report

Author(s):  
A. M. Shantha kumar ◽  
Santosh Sahanand ◽  
David V. Rajan

<p>Ganglion cyst of the knee joint can be intra articular or extra articular. Large intra articular ganglionic cystic formations arising from the infrapatellar fat pad are quite uncommon and only few are reported. Treatment option is surgery(open/arthroscopic) depending on the site and size of the cyst. We report a case of giant ganglion cyst arising from the infra patellar Hoffa's fat pad which presents anterior to the patellar tendon through a rent in the medial retinaculum with the posterior wall of the cyst being adherent to the para tenon of the patellar tendon, in a 58 year old male which presents anterior to the patellar tendon through a rent in the patellar retinaculum which was adherent to the para tenon of the patellar tendon and it was managed by open excision of the cyst.</p><p> </p>

Author(s):  
Ciosek Żaneta ◽  
Kosik-Bogacka Danuta ◽  
Łanocha-Arendarczyk Natalia ◽  
Kot Karolina ◽  
Karaczun Maciej ◽  
...  

The aim of the study was to assess phosphorus (P) concentration in structures of the knee joint—including the tibial spongy bone, articular cartilage, meniscus, anterior cruciate ligament, and infrapatellar fat pad (Hoffa’s fat pad)—of patients following knee joint replacement. The study also aimed to assess the influence of selected biological and environmental factors on P concentration in studied parts of the knee joint. Phosphorus concentration was determined using inductively coupled plasma-atomic emission spectrometry (ICP-AES). Statistically significant differences in P concentration were found between different elements of the knee joint. The highest P concentration was measured in the spongy bone (72,746.68 mg kg−1 dw) and the lowest in the Hoffa’s fat pad (1203.19 mg kg−1 dw). P levels were unaffected by gender, age, BMI, place of residence, smoking, or alcohol consumption. Data on P concentration in the osteoarticular elements of the knee may be useful in the interpretation and evaluation of biochemical, morphological, and mechanical changes occurring in the body.


2017 ◽  
Vol 11 (1) ◽  
pp. 1142-1146 ◽  
Author(s):  
Tsuneari Takahashi ◽  
Masashi Kimura ◽  
Takashi Ohsawa ◽  
Naoki Yamaguchi ◽  
Katsushi Takeshita

Introduction: A ganglion cyst can induce symptoms around the knee and should be considered as an intra-articular mass in differential diagnosis. Case Presentation: A 22-year-old female presented with a persistent medial knee joint pain in her left knee for 2 years. There was soft tissue swelling on the anteromedial aspect of the infrapatellar region on her left knee. Lachman and McMurray tests were negative. MRI showed a multilobular cyst in the infrapatellar fat pad with T1 low intensity and T2 STIR high intensity. The cyst was not attached to either meniscus. ACL and PCL looked normal. During surgery, the cyst was found to arise from the intra-patellar fat pad and was not attached to the menisci or synovium. The cyst was completely resected. Histological findings showed a multilobular cyst with a glassy fibrous tissue wall and clear jelly-like consistency, confirming the diagnosis of a ganglion. The patient recovered asymptomatically and has been without recurrence 7 years postoperatively. Conclusion: Differential diagnoses of an infrapatellar swelling are a meniscal cyst, synovial cyst, or ganglion. Most cases of cysts around the knee generate from fluid collection through meniscal tears. A ganglion cyst is a synovium-lined structure and is common around the wrist joint, but rare in the knee joint. A ganglion cyst in the knee joint often arises from ACL or PCL, but rarely arises from the infrapatellar fat pad. A ganglion cyst is one of the differential diagnoses of parameniscal cysts around the knee. We recommended an open resection with arthroscopic examination.


Author(s):  
Kazuhiko Hashimoto ◽  
Shunji Nishimura ◽  
Koutaro Yamagishi ◽  
Ichiro Tsukamoto ◽  
Koichi Nakagawa ◽  
...  

2019 ◽  
Vol 05 (02) ◽  
pp. e46-e49 ◽  
Author(s):  
Theodoros Bouras ◽  
Maulik Gandhi ◽  
Andrew Barnett

AbstractThe main aim of this case report is to thoroughly describe the steps of diagnosis and treatment in the rare incidence of patellar tendon gouty tophus. The case of a 53-year-old man manual worker who was treated with open excision of the lesion, following failure of extended medical treatment with rheumatological input, is presented. Surgical treatment led to full restoration of the patient's knee function. Open or arthroscopic surgery is a viable option for the unusual case of intratendinous patellar gouty deposition if the patient fails medical management. Medical treatment should still be the mainstay.


2008 ◽  
Vol 68 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Etienne Pluot ◽  
Jaspreet Singh ◽  
Steven Laurence Joseph James ◽  
Arthur Mark Davies ◽  
Vaiyapuri Palaniappan Sumathi ◽  
...  

2012 ◽  
Vol 17 (5) ◽  
pp. 654-658 ◽  
Author(s):  
Hong-Chul Lim ◽  
Hak-Jun Kim ◽  
Yoon-Jung Kim ◽  
Jae-Hyuk Yang ◽  
Taik-Sun Kim ◽  
...  

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