Prefemoral fat pad impingement

Case contributed by Dalia Ibrahim , 4 Jun 2021
Diagnosis almost certain
Changed by Dalia Ibrahim, 5 Jun 2021

Updates to Study Attributes

Findings was changed:

Patella alta.

Shallow dysplastic femoral trochlea (Type D).

Focal edema signal of the fat interposed between the patella and the lateral trochlear ridge, mainly along the lateral aspect.

Updates to Study Attributes

Findings was changed:

Patella alta in the first image.

Type D trochlear dysplasia with vertical link between the facets "cliff pattern" in the second image (Red arrow).

Edema signal in the prefemoral fat pad in the third image mainly along the lateral aspect indicating lateral patellar dynamic subluxation (Yellow arrows).

Images Changes:

Image Annotated image (Firts image) ( update )

Perspective was set to Firts image.

Image Annotated image (Second image) ( update )

Perspective was set to Second image.

Image Annotated image (Third image) ( update )

Perspective was set to Third image.

Image 3 Annotated image (Third image) ( create )

Updates to Case Attributes

Body was changed:

Here in this case there are features of patellofemoral instability evident by patella alta and type D trochlear dysplasia in the form of vertical link(cliff pattern) between the facets. This resulted in lateral patellar dynamic subluxation with subsequent friction and edema signal of the prefemoral pad fat mainly along the lateral aspect.

The pre-femoral fat pad or the posterior suprapatellar fat pad is located anterior to the distal femur and superior to the trochlea, separated from the quadriceps fat pad by the suprapatellar bursa.

Prefemoral fat pad impingement is caused either by:

  • prominent suprapatellar osteophyte, with the edema usually in the superior aspect close to the midline
  • patellar tendon-lateral femoral condyle friction syndrome, with the edema, usually occurs in the inferolateral aspect of the fat pad.
  • -<p>The pre-femoral fat pad or the posterior suprapatellar fat pad is located anterior to the distal femur and superior to the trochlea, separated from the quadriceps fat pad by the suprapatellar bursa.</p><p>Prefemoral fat pad impingement is caused either by:</p><ul>
  • +<p>Here in this case there are features of patellofemoral instability evident by patella alta and type D trochlear dysplasia in the form of vertical link(cliff pattern) between the facets. This resulted in lateral patellar dynamic subluxation with subsequent friction and edema signal of the prefemoral pad fat mainly along the lateral aspect.</p><p>The pre-femoral fat pad or the posterior suprapatellar fat pad is located anterior to the distal femur and superior to the trochlea, separated from the quadriceps fat pad by the suprapatellar bursa.</p><p>Prefemoral fat pad impingement is caused either by:</p><ul>

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