Unusual presentation of giant ganglion cyst from the infrapatellar (Hoffa’s) fat pad of knee: a case report
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205579Keywords:
Ganglion cyst, Hoffa's fat pad, Patellar tendonAbstract
Ganglion cyst of the knee joint can be intra articular or extra articular. Large intra articular ganglionic cystic formations arising from the infrapatellar fat pad are quite uncommon and only few are reported. Treatment option is surgery(open/arthroscopic) depending on the site and size of the cyst. We report a case of giant ganglion cyst arising from the infra patellar Hoffa's fat pad which presents anterior to the patellar tendon through a rent in the medial retinaculum with the posterior wall of the cyst being adherent to the para tenon of the patellar tendon, in a 58 year old male which presents anterior to the patellar tendon through a rent in the patellar retinaculum which was adherent to the para tenon of the patellar tendon and it was managed by open excision of the cyst.
References
Nikolopoulos I, Krinas G, Kipriadis D, Ilias A, Giannakopoulos A, Kalos S. Large infrapatellar ganglionic cyst of the knee fat pad: A case report and review of the literature. J Med Case Rep. 2011;5:1-7.
Amin M, Torreggiani W, Sparkes J. Infrapatellar ganglion that developed from infrapatellar fat and had minimal intraarticular extension. Knee Surgery, Sport Traumatol Arthrosc. 2008;16(2):179-81.
David KS, Korula RJ. Intra-articular ganglion cyst of the knee. Knee Surgery, Sport Traumatol Arthrosc. 2004;12(4):335-7.
Krudwig WK, Schulte KK, Heinemann C. Intra-articular ganglion cysts of the knee joint: A report of 85 cases and review of the literature. Knee Surgery, Sport Traumatol Arthrosc. 2004;12(2):123-9.
Goyal R, Chopra R, Singh S, Kamra P. Ganglion cyst of Hoffa’s fat pad of knee-a rare cause of knee pain and swelling-a case report and literature review. J Clin Orthop Trauma. 2019;10:S215-7.
Vaishya R, Kansagra A, Agarwal AK, Vijay V. A Giant Ganglion Cyst Arising from Lateral Hoffa’s Fat Pad of the Knee. J Orthop case reports. 2020;9(6):36-9.
Patel SJ, Kaplan PA, Dussault RG, Kahler DM. Anatomy and clinical significance of the horizontal cleft in the infrapatellar fat pad of the knee: MR imaging. Am J Roentgenol. 1998;170(6):1551-5.
Huang GS, Lee CH, Chan WP. Ganglion cysts of the cruciate ligaments: MR findings with clinical correlation. Acta radiol. 2002;43(4):419-24.
DeFriend DE, Schranz PJ, Silver DAT. Ultrasound-guided aspiration of posterior cruciate ligament ganglion cysts. Skeletal Radiol. 2001;30(7):411-4.
Yilmaz E, Karakurt L, Özercan I, Özdemir H. A ganglion cyst that developed from the infrapatellar fat pad of the knee. Arthroscopy. 2004;20(7).
