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 Table of Contents    
AUTHORS' REPLY  
Year : 2013  |  Volume : 47  |  Issue : 3  |  Page : 319-320
Author's reply in response to letter to editor Indian J Orthop 2012;46:728-9 titled "Tumor like swellings arising from Hoffa's fat pad: A series of three patients."


Department of Orthopaedics, Dr. R. N. Cooper Municipal General Hospital, Juhu, Vile Parle (West), Mumbai, Maharashtra, India

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Date of Web Publication10-May-2013
 

How to cite this article:
Ghate SD, Deokar BN, Samant AV, Kale SP. Author's reply in response to letter to editor Indian J Orthop 2012;46:728-9 titled "Tumor like swellings arising from Hoffa's fat pad: A series of three patients.". Indian J Orthop 2013;47:319-20

How to cite this URL:
Ghate SD, Deokar BN, Samant AV, Kale SP. Author's reply in response to letter to editor Indian J Orthop 2012;46:728-9 titled "Tumor like swellings arising from Hoffa's fat pad: A series of three patients.". Indian J Orthop [serial online] 2013 [cited 2020 Feb 21];47:319-20. Available from: http://www.ijoonline.com/text.asp?2013/47/3/319/111520
Sir,

We thank Vaishya [1] for showing interest in our article 'Tumor like swellings arising from Hoffa's fat pad: A series of three patients. [2] In the article the difference between Hoffa's syndrome and Hoffa's disease has been mentioned. [2] Hoffa's disease occurs in normal knees; it suggests that there are some pathologies which directly affect Hoffa's fat pad (HFP). [2],[3],[4],[5],[6],[7] Wichham et al. [8] suggested that HFP has ability to differentiate into other cell patterns including adipocytes which also suggests that there are some pathologies which can directly arise from HFP due to metaplasia, even though exactly which pathologies has not been established, is still controversial.

Hoffa's syndrome is due to hypertrophy of fat pad secondary to meniscal, capsular, or ligamentous injury which indicates secondary involvement of HFP.

So we agree that your experience may be different from us but we have discussed the cases which came to our institute in whom our experience was consistent with the literature which we have referred. In the cases, you have experienced there is possibility that those were not arising from HFP which is also a fact.

 
   References Top

1.Vaishya R. Tumor like swellings arising from Hoffa's fat pad: A series of three patients. Indian J Orthop 2012;46:728-9.   Back to cited text no. 1
  Medknow Journal  
2.Ghate SD, Deokar BN, Samant AV, Kale SP. Tumor like swellings arising from Hoffa's fat pad: A series of three patients. Indian J Orthop 2012;46:364-8.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.Singh VK, Shah G, Singh PK, Saran D. Extraskeletal ossifying chondroma in Hoffa's fat pad: An unusual cause of anterior knee pain. Singapore Med J 2009;50:e189-92.  Back to cited text no. 3
    
4.Maggi M, Branca A, Bucca C, langerame U. Hoffa's disease. Ital J Orthop Traumatol 1991;17:211-6.  Back to cited text no. 4
    
5.Rizzello G, Franceschi F, Meloni MC, Cristi E, Barnaba SA, Rabitti C, et al. Para-articular osteochondroma of the knee. Arthroscopy 2007;23:910-4.  Back to cited text no. 5
    
6.Nouri H, Hmida FB, Ouertatani M, Bouaziz M, Abid L, Jaafoura H, et al. Tumour-like lesions of the infrapatellar fat pad. Knee Surg Sports Traumatol Arthrosc 2010;18:1391-4.  Back to cited text no. 6
    
7.Saddik D, McNally EG, Richardson M. MRI of Hoffa's fat pad. Skeletal Radiol 2004;33:433-44.  Back to cited text no. 7
    
8.Wichham MQ, Erickson JR, Jimble GM, Veil TP, Guilak F. Multipotent stromal cells derived from infrapatellar fat pad of knee. Clin Orthop Relat Res 2003;412:196-212.  Back to cited text no. 8
    

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Correspondence Address:
Sushant D Ghate
Sarthak Nivas Wada's Stop, Karvenagar, Behind Shedge Math, Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


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