Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Korean Medicine Treatments for Fat Pad Syndrome of Knee Joint: A Case Report

  • Lee, June-Haeng (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Lee, Soo-Kyung (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Park, Eun-Yeong (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Kang, Sun-Woo (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Won, Yoon-Jae (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Ha, Jae-Joon (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine) ;
  • Yang, Myeong-yeol (Department of Acupuncture and Moxibustion, Jaseng Hospital of Korean Medicine)
  • Received : 2021.10.21
  • Accepted : 2021.11.29
  • Published : 2022.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Fat pad syndrome is a knee joint condition/disease where acute or chronic inflammation occurs in the fat pad of the knee joint, and it is a cause of anterior knee pain. Fat pad syndrome usually occurs concurrently with other conditions/diseases to collectively cause anterior knee pain. No study to date has reported the treatment of anterior knee pain solely due to fat pad syndrome. Here, we report a case of fat pad syndrome of the knee joint as the sole cause of anterior knee pain in a 49-year-old woman who received integrated Korean medicine treatments (pharmacopuncture, acupuncture, herbal medicine, deep fascial meridian therapy, and chuna). Using patient-reported pain scale scores, the level of the patient's pain was relieved, and her mobility improved. Integrated Korean medicine treatments could be effective for patients who have fat pad syndrome of the knee joint.

Keywords

References

  1. Yuksel Y, Ergun T, Torun E, Unal M, Sonnow L, Kose O. The relationship between quadriceps fat pad syndrome and patellofemoral morphology: A case-control study. J Orthop Traumatol 2021;22:17. https://doi.org/10.1186/s10195-021-00580-0
  2. Grando H, Chang EY, Chen KC, Chung CB. MR imaging of extrasynovial inflammation and impingement about the knee. Magn Reson Imaging Clin N Am 2014;22:725-741. https://doi.org/10.1016/j.mric.2014.07.011
  3. Roth C, Jacobson J, Jamadar D, Caoili E, Morag Y, Housner J. Quadriceps fat pad signal intensity and enlargement on MRI: Prevalence and associated findings. AJR Am J Roentgenol 2004;182:1383-1387. https://doi.org/10.2214/ajr.182.6.1821383
  4. Staeubli H-U, Bollmann C, Kreutz R, Becker W, Rauschning W. Quantification of intact quadriceps tendon, quadriceps tendon insertion, and suprapatellar fat pad: MR arthrography, anatomy, and cryosections in the sagittal plane. AJR Am J Roentgenol 1999;173:691-698. https://doi.org/10.2214/ajr.173.3.10470905
  5. Widjajahakim R, Roux M, Jarraya M, Roemer FW, Neogi T, Lynch JA et al. Relationship of trochlear morphology and patellofemoral joint alignment to superolateral Hoffa fat pad edema on MR images in individuals with or at risk for osteoarthritis of the knee: The MOST study. Radiology 2017;284:806-814. https://doi.org/10.1148/radiol.2017162342
  6. Larbi A, Cyteval C, Hamoui M, Dallaudiere B, Zarqane H, Viala P et al. Hoffa's disease: A report on 5 cases. Diagn Interv Imaging 2014;95:1079-1084. https://doi.org/10.1016/j.diii.2014.06.009
  7. Hoffa A. The influence of the adipose tissue with regard to the pathology of the knee joint. J Am Med Assoc 1904;43:795-796. https://doi.org/10.1001/jama.1904.92500120002h
  8. Jarraya M, Diaz LE, Roemer FW, Arndt WF, Goud AR, Guermazi A. MRI findings consistent with peripatellar fat pad impingement: How much related to patellofemoral maltracking? Magn Reson Med Sci 2018;17:195. https://doi.org/10.2463/mrms.rev.2017-0063
  9. Ozdemir ZM, Aydingoz U, Korkmaz MF, Tunay VB, Ergen FB, Atay O et al. Ultrasonography-guided injection for quadriceps fat pad edema: Preliminary report of a six-month clinical and radiological follow-up. J Belg Soc Radiol 2016;100.
  10. Dragoo JL, Johnson C, McConnell J. Evaluation and treatment of disorders of the infrapatellar fat pad. Sports Med 2012;42:51-67. https://doi.org/10.2165/11595680-000000000-00000
  11. Crossley K, Bennell K, Green S, Cowan S, McConnell J. Physical therapy for patellofemoral pain: A randomized, double-blinded, placebo-controlled trial. Am J Sports Med 2002;30:857-865. https://doi.org/10.1177/03635465020300061701
  12. Takeshige C, Sato T, Mera T, Hisamitsu T, Fang J. Descending pain inhibitory system involved in acupuncture analgesia. Brain Res Bull 1992;29:617-634. https://doi.org/10.1016/0361-9230(92)90131-G
  13. Lin J-G, Chen W-L. Acupuncture analgesia: A review of its mechanisms of actions. Am J Chin Med 2008;36:635-645. https://doi.org/10.1142/S0192415X08006107
  14. Park J, Lee H, Shin B-C, Lee MS, Kim B, Kim J-I. Pharmacopuncture in Korea: A systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med 2016;2016:4683121.
  15. Lee SY, Kwon HK, Lee SM. Retracted article: Shinbaro, a new herbal medicine with multifunctional mechanism for joint disease: First therapeutic application for the treatment of osteoarthritis. Arch Pharm Res 2011;34:1773-1777. https://doi.org/10.1007/s12272-011-1121-0
  16. Kim T-H, Yoon S-J, Lee W-C, Kim J-K, Shin J, Lee S et al. Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats. J Ethnopharmacol 2011;136:297-304. https://doi.org/10.1016/j.jep.2011.04.037
  17. Chung H-J, Lee H-S, Shin J-S, Lee S-H, Park B-M, Youn Y-S et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. J Ethnopharmacol 2010;130:450-459. https://doi.org/10.1016/j.jep.2010.05.020
  18. Robertsson O, Wingstrand H, Onnerfalt R. Intracapsular pressure and pain in coxarthrosis. J Arthroplasty 1995;10:632-635. https://doi.org/10.1016/S0883-5403(05)80207-4
  19. Mangus BC, Hoffman LA, Hoffman MA, Altenburger P. Basic principles of extremity joint mobilization using a Kaltenborn approach. J Sport Rehabil 2002;11:235-250. https://doi.org/10.1123/jsr.11.4.235
  20. Moon T-W, Choi T-Y, Park T-Y, Lee MS. Chuna therapy for musculoskeletal pain: A systematic review of randomized clinical trials in Korean literature. Chin J Integr Med 2013;19:228-232. https://doi.org/10.1007/s11655-012-1238-0