Hoffa’s fat pad tumours: What do we know about them?

Purpose We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature. Methods We performed a retrospe...

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Veröffentlicht in:International orthopaedics 2013-11, Vol.37 (11), p.2225-2229
Hauptverfasser: Albergo, Jose I., Gaston, Czar Louie L., Davies, Mark, Abudu, Adesegun T., Carter, Simon R., Jeys, Lee M., Tillman, Roger M., Grimer, Robert J.
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container_end_page 2229
container_issue 11
container_start_page 2225
container_title International orthopaedics
container_volume 37
creator Albergo, Jose I.
Gaston, Czar Louie L.
Davies, Mark
Abudu, Adesegun T.
Carter, Simon R.
Jeys, Lee M.
Tillman, Roger M.
Grimer, Robert J.
description Purpose We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature. Methods We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up. Results The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % ( n  = 23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 % n  = 12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old. Conclusions Hoffa’s fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population.
doi_str_mv 10.1007/s00264-013-2041-z
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Methods We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up. Results The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % ( n  = 23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 % n  = 12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old. Conclusions Hoffa’s fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-013-2041-z</identifier><identifier>PMID: 24000088</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adipose Tissue - surgery ; Adolescent ; Adult ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Knee Joint - diagnostic imaging ; Knee Joint - surgery ; Lipoma - diagnosis ; Lipoma - epidemiology ; Lipoma - surgery ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Original Paper ; Orthopedic Procedures ; Orthopedics ; Prevalence ; Prospective Studies ; Radiography ; Retrospective Studies ; Sarcoma, Synovial - diagnosis ; Sarcoma, Synovial - epidemiology ; Sarcoma, Synovial - surgery ; Soft Tissue Neoplasms - diagnosis ; Soft Tissue Neoplasms - epidemiology ; Soft Tissue Neoplasms - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>International orthopaedics, 2013-11, Vol.37 (11), p.2225-2229</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-40fab1c7ed1e6e3cdea18d51b096c0e3efa1d6df3484221d193f1fec43269c073</citedby><cites>FETCH-LOGICAL-c442t-40fab1c7ed1e6e3cdea18d51b096c0e3efa1d6df3484221d193f1fec43269c073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824884/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824884/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24000088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albergo, Jose I.</creatorcontrib><creatorcontrib>Gaston, Czar Louie L.</creatorcontrib><creatorcontrib>Davies, Mark</creatorcontrib><creatorcontrib>Abudu, Adesegun T.</creatorcontrib><creatorcontrib>Carter, Simon R.</creatorcontrib><creatorcontrib>Jeys, Lee M.</creatorcontrib><creatorcontrib>Tillman, Roger M.</creatorcontrib><creatorcontrib>Grimer, Robert J.</creatorcontrib><title>Hoffa’s fat pad tumours: What do we know about them?</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose We report on a group of patients with tumours in the Hoffa’s fat pad (HFP), their clinical presentation, histological type and treatment, including two synovial sarcomas with their clinical follow-up, which have not been described previously in the literature. 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Methods We performed a retrospective review of our prospectively collected database of 25 cases of HFP tumours with at least six months follow-up. Results The gender, age at presentation (over and under 16 years of age), clinical features, history of trauma, treatment chosen, and complications were recorded. The mean age of the patients was 32 years (three to 47). Six patients were under 16 years old. Pain was the most common symptom, present in 92 % ( n  = 23/25). The final diagnoses included 23 (92 %) benign tumours and two (8 %) malignant tumours. The most common benign tumour was pigmented villonodular synovitis (PVNS) (48 % n  = 12). The two malignant tumours were synovial sarcomas and both presented in patients under 16 years old. Conclusions Hoffa’s fat pad tumours are an uncommon and rarely diagnosed group of lesions that can be misinterpreted as any knee pathology. Although the majority of HFP tumours are benign, malignant tumours should be considered in the differential diagnosis for the paediatric population.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24000088</pmid><doi>10.1007/s00264-013-2041-z</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adipose Tissue - surgery
Adolescent
Adult
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Knee Joint - diagnostic imaging
Knee Joint - surgery
Lipoma - diagnosis
Lipoma - epidemiology
Lipoma - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Orthopedic Procedures
Orthopedics
Prevalence
Prospective Studies
Radiography
Retrospective Studies
Sarcoma, Synovial - diagnosis
Sarcoma, Synovial - epidemiology
Sarcoma, Synovial - surgery
Soft Tissue Neoplasms - diagnosis
Soft Tissue Neoplasms - epidemiology
Soft Tissue Neoplasms - surgery
Treatment Outcome
Young Adult
title Hoffa’s fat pad tumours: What do we know about them?
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