Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
JBJS Case Connect. 2023 Mar 22;13(1). doi: e22.00611. eCollection 2023 Jan 1.
We present a fifteen-year-old adolescent boy with anterior knee pain and a palpable tender swelling in the suprapatellar region with painful terminal extension. Imaging was suggestive of a vascular lesion in the suprapatellar fat pad. He underwent arthroscopic debridement and postoperatively regained his terminal extension.
Suprapatellar fat pad impingement can rarely be due to vascular lesions or lipomatous tumors affecting the suprapatellar fat pad. If conservative treatment is unsuccessful, surgery can provide good pain relief. The tissue excised should always be sent for histopathological examination.
我们报告了一例 15 岁青少年男性，主诉前膝痛，髌上区可触及压痛性肿胀伴终末伸展时疼痛。影像学提示髌上脂肪垫内血管病变。行关节镜下清理术后，患者终末伸展恢复。
髌上脂肪垫嵌压罕见由影响髌上脂肪垫的血管病变或脂肪瘤引起。如果保守治疗无效，手术可提供良好的疼痛缓解。切除的组织应始终送组织病理学检查。
