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Infrapatellar fat pad syndrome, also known as Hoffa's disease, is when pain in the front of the knee occurs due to problems with the infrapatellar fat pad. [2] Pain is generally just below the kneecap. [2] Symptoms may worsen if the knee is overly straightened or bent for too long a period. [2]
The infrapatellar fat pad (Hoffa's fat pad) is a cylindrical piece of fat that is situated inferior and posterior to the patella bone within the knee, [1] intervening between the patellar ligament and synovial fold of the knee joint.
However, there is insufficient evidence to compare the effectiveness of different types of exercises with each other, and exercises with other forms of treatment. [28] Exercise therapy is the recommended first line treatment of PFPS. [3] Various exercises have been studied and recommended. [29] Exercises are described according to 3 parameters: [8]
In normal, asymptomatic knees, this anterior compartment of the knee comprises mobile, scar-free tissues such as the infrapatellar (Hoffa's) fat pad. With progression, scar tissue (or fibrosis) leads to closure of the anterior interval, tethering the patella tendon and causing pain, loss of range of motion , damage to knee cartilage , and/or ...
Other conditions that can appear similar include infrapatellar bursitis, chondromalacia patella and patellofemoral syndrome. [1] [2] Treatment often involves resting the knee and physical therapy. [2] Evidence for treatments, including rest, however is poor. [4] [5] Recovery can take months and persist over years.
Infrapatellar bursitis is inflammation of the superficial or deep infrapatellar bursa. [3] Symptoms may include knee pain , swelling, and redness just below the kneecap . [ 2 ] It may be complicated by patellar tendonitis .
Physical therapy is often prescribed as a nonsurgical treatment of a tear, in which functional rehabilitation and range of motion exercises that focus primarily on the hips, gluteal muscles, and quadriceps are used to strengthen the muscles surrounding the knee. During the recovery phase, heat and ice are often applied as pain managers before ...
However, some studies have shown that steroid injections may not be an effective treatment option. [14] After the bursitis has been treated, rehabilitative exercise may help improve joint mechanics and reduce chronic pain. [15]: p. 2320 Opinions vary as to which treatment options are most effective for septic prepatellar bursitis.
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