Infra-patellar fat pad cysts: a case report and review of the literature

Bisicchia, Salvatore and Savarese, Eugenio (2012) Infra-patellar fat pad cysts: a case report and review of the literature. M.L.T.J. Muscles, Ligaments and Tendons Journal, 2 (4). pp. 305-308. ISSN 2240-4554

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Abstract

Infra-patellar fat pad cysts are an uncommon type of intra-articular ganglia. We report a case of a young woman with a painful little mass in the anterior aspect of the left knee. Ultrasound revealed a multiloculate cyst, that was initially drained with a spinal needle. Four months later, she had a recurrence of symptoms and a ultrasound guided aspiration was performed. Cytological examination revealed synovial cells, synovial fluid, macrophages and debris: diagnosis was ganglion cyst. We reviewed the literature about infrapatellar fat pad cysts. Clinical diagnosis of an intraarticular cyst is very difficult, but sometimes an infrapatellar fat pad cyst could be suspected because it could be visible and palpable. MRI is the best diagnostic option in all cases. There are several treatment option, operative or conservative. In our opinion ultrasound guided aspiration is the treatment of choice in symptomatic ganglia, because it allows to drain all lacunae, preventing recurrence

Item Type:	Article
Uncontrolled Keywords:	Hoffa cyst, Hoffa ganglia, intra articular ganglia
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.7 Malattie del sistema muscoloscheletrico
Depositing User:	Danilo Dezzi
Date Deposited:	17 Apr 2014 10:19
Last Modified:	17 Apr 2014 10:19
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8213

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