Mechchat Atif, Abid Hatim, Nassreddine Hammou, Bensaad Soufiane, Mohammed Elidrissi, Mohammed Shimi, Abdelhalim Elibrahimi, Abdelmajid Elmrini
Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
Pan Afr Med J. 2015 Feb 27;20:187. doi: 10.11604/pamj.2015.20.187.4078. eCollection 2015.
We performed a retrospective cohort study to increase awareness in orthopaedic community of this rare but interesting disease which is often misdiagnosed as meniscal pathology and to analyze present results of arthroscopic resection in seven patients. we retrospectively reviewed records from 2008-2012 and identified 7 patients with symptomatic Hoffa's fat pad impingement. The diagnosis was made by clinical exam, MRI imaging and verified arthroscopically. Of the 7 patients 2 were excluded due to receiving open resection. The remaining five underwent arthroscopic resection. Lysholm and American knee society scores were obtained pre and post operative and at final follow up. There was a significant improvement in their symptoms and function after the surgery at an average follow-up of 14 months. The one poor result was because of paresthesia over the distribution of the infrapatellar branch of the saphenous nerve after open resection. tumours like of the fat pad should be treated by arthroscopic resection because of less residual pain and less complication was found using arthroscopy. In case of high volume of tumours only open excision can provide complete excision.
我们进行了一项回顾性队列研究，以提高骨科界对这种罕见但有趣疾病的认识，该疾病常被误诊为半月板病变，并分析7例患者关节镜下切除术的当前结果。我们回顾性分析了2008年至2012年的记录，确定了7例有症状的霍法脂肪垫撞击症患者。诊断通过临床检查、MRI成像并经关节镜证实。7例患者中有2例因接受开放切除术而被排除。其余5例接受了关节镜下切除术。术前、术后及最后随访时获得了Lysholm评分和美国膝关节协会评分。平均随访14个月后，他们的症状和功能在术后有显著改善。一个较差的结果是由于开放切除术后隐神经髌下支分布区域出现感觉异常。对于脂肪垫样肿瘤，应采用关节镜下切除术治疗，因为关节镜检查发现残余疼痛较少且并发症较少。对于大量肿瘤，仅开放切除才能实现完全切除。
