Posttraumatic Fat Necrosis Presenting as Prepatellar Loose Bodies in an Adolescent Football Player
A 16-year-old high school football player presented with 4 months of anterior knee pain and small, mobile, prepatellar “lumps” after falling onto an opponent's cleat. He reported knee pain primarily during knee flexion and direct pressure during squatting and kneeling. Knee radiographs were unr...
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| Veröffentlicht in: | PM & R 2014-08, Vol.6 (8), p.749-752 |
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| creator | Sole, Joshua S., MD Wisniewski, Steve J., MD Dahm, Diane L., MD Bond, Jeffrey, MD Smith, Jay, MD |
| description | A 16-year-old high school football player presented with 4 months of anterior knee pain and small, mobile, prepatellar “lumps” after falling onto an opponent's cleat. He reported knee pain primarily during knee flexion and direct pressure during squatting and kneeling. Knee radiographs were unremarkable. Ultrasonography revealed multiple, freely mobile, subcutaneous nodules of variable size and echogenicity in the prepatellar region. Analysis of magnetic resonance imaging suggested possible fat necrosis but was nondiagnostic. The patient opted for surgical exploration, at which time multiple, opalescent subcutaneous nodules were removed. Pathology was consistent with encapsulated fat necrosis. After surgery, his symptoms resolved, and he returned to sports without restrictions. |
| doi_str_mv | 10.1016/j.pmrj.2013.12.010 |
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He reported knee pain primarily during knee flexion and direct pressure during squatting and kneeling. Knee radiographs were unremarkable. Ultrasonography revealed multiple, freely mobile, subcutaneous nodules of variable size and echogenicity in the prepatellar region. Analysis of magnetic resonance imaging suggested possible fat necrosis but was nondiagnostic. The patient opted for surgical exploration, at which time multiple, opalescent subcutaneous nodules were removed. Pathology was consistent with encapsulated fat necrosis. After surgery, his symptoms resolved, and he returned to sports without restrictions.</description><identifier>ISSN: 1934-1482</identifier><identifier>EISSN: 1934-1563</identifier><identifier>DOI: 10.1016/j.pmrj.2013.12.010</identifier><identifier>PMID: 24389347</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Diagnosis, Differential ; Fat Necrosis - diagnosis ; Fat Necrosis - etiology ; Football - injuries ; Humans ; Knee Injuries - complications ; Knee Injuries - diagnosis ; Knee Joint - diagnostic imaging ; Knee Joint - pathology ; Magnetic Resonance Imaging ; Male ; Physical Medicine and Rehabilitation ; Ultrasonography</subject><ispartof>PM & R, 2014-08, Vol.6 (8), p.749-752</ispartof><rights>American Academy of Physical Medicine and Rehabilitation</rights><rights>2014 American Academy of Physical Medicine and Rehabilitation</rights><rights>Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. 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After surgery, his symptoms resolved, and he returned to sports without restrictions.</description><subject>Adolescent</subject><subject>Diagnosis, Differential</subject><subject>Fat Necrosis - diagnosis</subject><subject>Fat Necrosis - etiology</subject><subject>Football - injuries</subject><subject>Humans</subject><subject>Knee Injuries - complications</subject><subject>Knee Injuries - diagnosis</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Ultrasonography</subject><issn>1934-1482</issn><issn>1934-1563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u1DAUhS0Eoj_wAiyQl2wm-NqJk0gIqVRMqTSCkWjXlmPfIIckHmwHad4eh2lZdMHKtnzO0T3fJeQNsAIYyPdDcZjCUHAGogBeMGDPyDm0otxAJcXzx3vZ8DNyEePAmCyhkS_JGS9Fk__qc9LtfUwp6GXSyRm61Yl-RRN8dJHuA0ack5t_UP33ddAJx1EHuvM-Iv3krcNI3Uz1TK-sHzGarKdb71Onx5HuR33E8Iq86PUY8fXDeUnut5_vrr9sdt9ubq-vdhtTAqSNKKVsS8P7ugHsmBG2A6xA67rG3kpuQLRQQ2_KtmMst7KGy7LntuNMVp0Vl-TdKfcQ_K8FY1KTywPlgWf0S1RQVU3F20byLOUn6do0BuzVIbhJh6MCpla2alArW7WyVcBVZptNbx_yl25C-8_yCDMLPpwEmFv-dhhUNA5ng9YFNElZ7_6f__GJ3YxudkaPP_GIcfBLmDM_BSpmg_q-bnddLggGXEAj_gCu2Z_h</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Sole, Joshua S., MD</creator><creator>Wisniewski, Steve J., MD</creator><creator>Dahm, Diane L., MD</creator><creator>Bond, Jeffrey, MD</creator><creator>Smith, Jay, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Posttraumatic Fat Necrosis Presenting as Prepatellar Loose Bodies in an Adolescent Football Player</title><author>Sole, Joshua S., MD ; Wisniewski, Steve J., MD ; Dahm, Diane L., MD ; Bond, Jeffrey, MD ; Smith, Jay, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-346694c2f781eb0c3db1e51aa77efd62c139171fc49b00148dc264f2db2065bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Diagnosis, Differential</topic><topic>Fat Necrosis - diagnosis</topic><topic>Fat Necrosis - etiology</topic><topic>Football - injuries</topic><topic>Humans</topic><topic>Knee Injuries - complications</topic><topic>Knee Injuries - diagnosis</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sole, Joshua S., MD</creatorcontrib><creatorcontrib>Wisniewski, Steve J., MD</creatorcontrib><creatorcontrib>Dahm, Diane L., MD</creatorcontrib><creatorcontrib>Bond, Jeffrey, MD</creatorcontrib><creatorcontrib>Smith, Jay, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>PM & R</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sole, Joshua S., MD</au><au>Wisniewski, Steve J., MD</au><au>Dahm, Diane L., MD</au><au>Bond, Jeffrey, MD</au><au>Smith, Jay, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posttraumatic Fat Necrosis Presenting as Prepatellar Loose Bodies in an Adolescent Football Player</atitle><jtitle>PM & R</jtitle><addtitle>PM R</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>6</volume><issue>8</issue><spage>749</spage><epage>752</epage><pages>749-752</pages><issn>1934-1482</issn><eissn>1934-1563</eissn><abstract>A 16-year-old high school football player presented with 4 months of anterior knee pain and small, mobile, prepatellar “lumps” after falling onto an opponent's cleat. He reported knee pain primarily during knee flexion and direct pressure during squatting and kneeling. Knee radiographs were unremarkable. Ultrasonography revealed multiple, freely mobile, subcutaneous nodules of variable size and echogenicity in the prepatellar region. Analysis of magnetic resonance imaging suggested possible fat necrosis but was nondiagnostic. The patient opted for surgical exploration, at which time multiple, opalescent subcutaneous nodules were removed. Pathology was consistent with encapsulated fat necrosis. After surgery, his symptoms resolved, and he returned to sports without restrictions.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24389347</pmid><doi>10.1016/j.pmrj.2013.12.010</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adolescent Diagnosis, Differential Fat Necrosis - diagnosis Fat Necrosis - etiology Football - injuries Humans Knee Injuries - complications Knee Injuries - diagnosis Knee Joint - diagnostic imaging Knee Joint - pathology Magnetic Resonance Imaging Male Physical Medicine and Rehabilitation Ultrasonography |
| title | Posttraumatic Fat Necrosis Presenting as Prepatellar Loose Bodies in an Adolescent Football Player |
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