title: Hoffa's fat pad tumours like: results of the arthroscopic resection.
abstract: 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.
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Atif
authors.initials: A
authors.lastname: Mechchat
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Hatim
authors.initials: H
authors.lastname: Abid
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Hammou
authors.initials: H
authors.lastname: Nassreddine
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Soufiane
authors.initials: S
authors.lastname: Bensaad
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Elidrissi
authors.initials: E
authors.lastname: Mohammed
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Shimi
authors.initials: S
authors.lastname: Mohammed
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Elibrahimi
authors.initials: E
authors.lastname: Abdelhalim
authors.affiliation: Department of Orthopaedics and Trauma Surgery B4, UH Hassan II, Fez, Morocco.
authors.forename: Elmrini
authors.initials: E
authors.lastname: Abdelmajid
mesh_terms: D000273:Adipose Tissue / Q000473:pathology / Q000601:surgery*; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010146:Pain / Q000209:etiology*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Hoffa fat pad; Knee; arthroscopy; excision; tumours like