Koyama Suguru, Tensho Keiji, Shimodaira Hiroki, Iwaasa Tomoya, Horiuchi Hiroshi, Kato Hiroyuki, Saito Naoto
Department of Orthopedic Surgery, Shinshu University School of Medicine, 3-26-1, Asahi, Matsumoto, Nagano 390-8621, Japan.
Case Rep Orthop. 2018 Dec 23;2018:3583049. doi: 10.1155/2018/3583049. eCollection 2018.
We report a rare case of prefemoral fat pad impingement syndrome that was caused by a hyperplasia of the normal suprapatellar fat pad. Pain and catching were observed in the proximal-lateral patellofemoral joint, and MRI imaging confirmed a hyperplasic mass in the same area. Although conservative treatment showed no signs of improvement, symptoms improved after an arthroscopic excision of the mass.
Prefemoral fat pad impingement syndrome is related to patellar motion and should be considered as one of the underlying causes of anterior knee pain (AKP). Surgeons should recognize that a small hyperplasia composed of normal adipose tissue can cause AKP.
我们报告一例罕见的股前脂肪垫撞击综合征,其由正常髌上脂肪垫增生引起。在髌股关节近端外侧观察到疼痛和卡顿,MRI成像证实同一区域有增生性肿块。尽管保守治疗未见改善迹象,但肿块经关节镜切除后症状有所改善。
股前脂肪垫撞击综合征与髌骨运动有关,应被视为膝前疼痛(AKP)的潜在原因之一。外科医生应认识到由正常脂肪组织构成的小增生可导致AKP。