Patellar tendon–Hoffa fat pad interface: From anatomy to high-resolution ultrasound imaging

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2024-11-21 DOI:10.1016/j.knee.2024.10.024

Vincenzo Ricci , Giulio Cocco , Kamal Mezian , Ke-Vin Chang , Jorge Barbosa , Ondřej Naňka , Levent Özçakar

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引用次数: 0

Abstract

Aim

To propose a standardized, high-resolution ultrasound (US) protocol to assess the patellar tendon–Hoffa fat pad interface (PTHFPI) in patients with (proximal) patellar tendinopathy (PPT).

Methods

Using a high-frequency transducer and a high-level machine, we matched the cadaveric and histological microarchitecture of the PTHFPI with multiple sonographic patterns of patients with PPT. Likewise, high-sensitive color/power Doppler assessments were also performed to evaluate the microcirculation of the soft tissues beneath the patellar tendon.

Results

Modern US equipment allows for detailed assessment of the potential pain generators located inside the PTHFPI in patients with PPT. They include anterosuperior portion of the Hoffa body and the loose connective tissue of the deep paratenon with its microvascular plexus.

Conclusions

In patients with PPT, accurate sonographic assessment of the PTHFPI can be performed using adequate technological equipment. Accordingly, tailored ultrasound-guided interventions can also be planned if/when clinically indicated.

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髌腱-霍法脂肪垫界面：从解剖学到高分辨率超声成像。

目的：提出一种标准化的高分辨率超声（US）方案，用于评估（近端）髌腱病（PPT）患者的髌腱-霍法脂肪垫界面（PTHFPI）：方法：我们使用高频换能器和高级机器，将髌腱-霍法脂肪垫界面（PTHFPI）的尸体和组织学微观结构与 PPT 患者的多种声像图模式相匹配。同样，我们还进行了高灵敏度彩色/功率多普勒评估，以评估髌腱下方软组织的微循环：结果：现代 US 设备可对 PPT 患者 PTHFPI 内部的潜在疼痛发生器进行详细评估。其中包括霍法体的前上部、髌骨旁深层的疏松结缔组织及其微血管丛：结论：使用适当的技术设备可对 PPT 患者的 PTHFPI 进行准确的超声评估。结论：使用适当的技术设备可以对 PTHFPI 患者进行准确的超声波评估，因此，如果/当临床需要时，也可以计划进行有针对性的超声波引导干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.