Hoffa's fat pad ganglion cyst

Case contributed by Bahman Rasuli
Diagnosis probable

Presentation

Increasing left knee pain and swelling for 9 months, which started after trauma to the knee.

Patient Data

Age: 50 years
Gender: Female
mri

A lobulated fluid signal cystic lesion is noted within the medial aspect of the infra-patellar Hoffa's fat pad with a downward extension around the medial aspect of the patellar tendon. It measures 21 x 33 x 45 mm in its maximal diameter.

Small Baker's cyst measuring about 8 x 21 mm also is seen at the posteromedial aspect of the knee joint.

Patella chondromalacia as cartilage fraying associated with subchondral cystic changes is seen at the medial facet joint.

Case Discussion

Hoffa's fat pad ganglion cyst with a downward extension.

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