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An unusual presentation of Hoffa’s disease in an elderly patient with no trauma history: a case report

Year 2011, Volume: 45 Issue: 3, 195 - 199, 15.07.2011

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

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

Year 2011, Volume: 45 Issue: 3, 195 - 199, 15.07.2011

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

Abstract

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Jong-Hoon Park This is me

Ji-Hun Park This is me

An-Hee Lee This is me

Dae-Hee Lee This is me

Publication Date July 15, 2011
Published in Issue Year 2011 Volume: 45 Issue: 3

Cite

APA Park, J.-H., Park, J.-H., Lee, A.-H., Lee, D.-H. (2011). An unusual presentation of Hoffa’s disease in an elderly patient with no trauma history: a case report. Acta Orthopaedica Et Traumatologica Turcica, 45(3), 195-199.
AMA Park JH, Park JH, Lee AH, Lee DH. An unusual presentation of Hoffa’s disease in an elderly patient with no trauma history: a case report. Acta Orthopaedica et Traumatologica Turcica. July 2011;45(3):195-199.
Chicago Park, Jong-Hoon, Ji-Hun Park, An-Hee Lee, and Dae-Hee Lee. “An Unusual Presentation of Hoffa’s Disease in an Elderly Patient With No Trauma History: A Case Report”. Acta Orthopaedica Et Traumatologica Turcica 45, no. 3 (July 2011): 195-99.
EndNote Park J-H, Park J-H, Lee A-H, Lee D-H (July 1, 2011) An unusual presentation of Hoffa’s disease in an elderly patient with no trauma history: a case report. Acta Orthopaedica et Traumatologica Turcica 45 3 195–199.
IEEE J.-H. Park, J.-H. Park, A.-H. Lee, and D.-H. Lee, “An unusual presentation of Hoffa’s disease in an elderly patient with no trauma history: a case report”, Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 3, pp. 195–199, 2011.
ISNAD Park, Jong-Hoon et al. “An Unusual Presentation of Hoffa’s Disease in an Elderly Patient With No Trauma History: A Case Report”. Acta Orthopaedica et Traumatologica Turcica 45/3 (July 2011), 195-199.
JAMA Park J-H, Park J-H, Lee A-H, Lee D-H. An unusual presentation of Hoffa’s disease in an elderly patient with no trauma history: a case report. Acta Orthopaedica et Traumatologica Turcica. 2011;45:195–199.
MLA Park, Jong-Hoon et al. “An Unusual Presentation of Hoffa’s Disease in an Elderly Patient With No Trauma History: A Case Report”. Acta Orthopaedica Et Traumatologica Turcica, vol. 45, no. 3, 2011, pp. 195-9.
Vancouver Park J-H, Park J-H, Lee A-H, Lee D-H. An unusual presentation of Hoffa’s disease in an elderly patient with no trauma history: a case report. Acta Orthopaedica et Traumatologica Turcica. 2011;45(3):195-9.