Hoffa's Fat Pad Disease/Hoffa's Syndrome/Fat Pad Impingement seems to be the result of an injury. The ICD-10 index directs me to code Hoffa's Disease as E88.89. E88.89 is "Other specified metabolic disorders."
Fat pad impingement of the knee is a common cause of pain at the front of the knee. We should differentiate this condition from other causes such as patellar tendonitis or kneecap arthritis. So, how do we correctly diagnose fat pad impingement and what can we do about it?
2018/2019 ICD-10-CM Diagnosis Code M75.41. Impingement syndrome of right shoulder. 2016 2017 2018 2019 Billable/Specific Code. M75.41 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Hypertrophy of (infrapatellar) fat pad 1 M00-M99#N#2021 ICD-10-CM Range M00-M99#N#Diseases of the musculoskeletal system and connective tissue#N#Note#N#Use an external... 2 M79#N#ICD-10-CM Diagnosis Code M79#N#Other and unspecified soft tissue disorders, not elsewhere classified#N#2016 2017 2018... More ...
Infrapatellar fat pad syndrome is a condition that causes knee pain. Your infrapatellar fat pad is one of three pads of fatty soft tissue that lie under your kneecap (patella), at the front of your knee. It's also known as the Hoffa's fat pad.
A fat pad (aka haversian gland) is a mass of closely packed fat cells surrounded by fibrous tissue septa. They may be extensively supplied with capillaries and nerve endings. Examples are: Intraarticular fat pads. These are also covered by a layer of synovial cells.
Inflammation in the infrapatellar fat pad has been implicated as a source of anterior knee pain. Hoffa disease is characterized by inflammation and hypertrophy, with subsequent trapping of the fat pad between the patellar tendon and femoral condyles.
“Generally, ice — a lot of ice — will help bring down the swelling that results from the impingement. Rest, over-the-counter anti-inflammatories, and strength-building and stretch exercises are also usually advocated. Sometimes, the area can be taped so that the fat pad is not impinged on.
Possibly the largest AFP in humans, the infrapatellar fat pad of the knee joint, known as Hoffa's fat pad (HFP) (13) is one of the three fat pads of the knee joint interposed between the capsular layer and the synovium, described as intra-articular (intracapsular) but extra synovial structures.
The Infrapatellar fat pads (IFP) are two wedge shaped fatty structures situated below the kneecap (patella), lying either side of the patellar tendon, first described by Hoffa in 1904. The IFP consist of fat cells (adipose tissue) packed closely together and separated from other tissues by fibrous septa.
What Causes Fat Pad Impingement? The soft tissue under the kneecap can become impinged due to a forceful, direct blow to the front of the knee. This may occur during a fall, a football tackle or a motor vehicle accident, for example.
Hoffa's fat pad syndrome also called fat pad impingement, infrapatellar fat pad syndrome, and Hoffa's disease, is a condition characterized by anterior knee pain, pain in the center, and front of your knees, due to inflammation of the Hoffa's fat pad.
Impingement: The fat pad is normally mobile, and moves out of the joint spaces of the knee as the knee flexes and extends. As the fat pad becomes inflamed and enlarged due to swelling, it is no longer able to move out of joint spaces and can become pinched or impinged.
If non-invasive treatments don't help recovery, surgery may be your only option. This will involve full or partial removal of the fat pad through arthroscopy. Most patients recover within six weeks of surgery.