{"id":14,"date":"2019-05-02T18:09:38","date_gmt":"2019-05-02T18:09:38","guid":{"rendered":"http:\/\/radever.com\/blog\/?p=14"},"modified":"2025-02-26T13:16:51","modified_gmt":"2025-02-26T13:16:51","slug":"welcome-to-radever-teleradiology","status":"publish","type":"post","link":"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/","title":{"rendered":"Radever Teaching Files May 2019"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69e4e25e85401\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69e4e25e85401\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/#QUADRICEPS_SUPRAPATELLAR_FAT_PAD_IMPINGEMENT_SYNDROME\" >QUADRICEPS \/ SUPRAPATELLAR FAT PAD IMPINGEMENT SYNDROME:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/#Clinical_presentation\" >Clinical presentation:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/#DIAGNOSIS_Quadriceps_suprapatellar_fat_pad_impingement_syndrome\" >DIAGNOSIS: Quadriceps \/ suprapatellar fat pad impingement syndrome.<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"QUADRICEPS_SUPRAPATELLAR_FAT_PAD_IMPINGEMENT_SYNDROME\"><\/span><strong>QUADRICEPS \/ SUPRAPATELLAR FAT PAD IMPINGEMENT SYNDROME:  <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p> Dr. Ashutosh Pawale. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Clinical_presentation\"><\/span><strong>Clinical presentation:<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p> A 28-year-old man was referred to an MRI center for intermittent anterior knee pain and mild swelling for 3 months. No history of trauma was given. <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"275\" height=\"337\" src=\"http:\/\/radever.com\/blog\/wp-content\/uploads\/2019\/05\/blog01.jpg\" alt=\"\" class=\"wp-image-19\" srcset=\"https:\/\/radever.com\/blog\/wp-content\/uploads\/2019\/05\/blog01.jpg 275w, https:\/\/radever.com\/blog\/wp-content\/uploads\/2019\/05\/blog01-245x300.jpg 245w\" sizes=\"(max-width: 275px) 100vw, 275px\" \/><\/figure><\/div>\n\n\n\n<p> A sagittal fat saturation image demonstrates a thickened, edematous suprapatellar fat pad (blue arrow), with posterior bulging margins. Also, reactive marrow edema at the patellar upper pole is noted.<br><br><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"260\" height=\"253\" src=\"http:\/\/radever.com\/blog\/wp-content\/uploads\/2019\/05\/blog02.jpg\" alt=\"\" class=\"wp-image-20\"\/><\/figure><\/div>\n\n\n\n<p>Axial fat saturation image demonstrates a thickened, edematous suprapatellar fat pad (arrow), with posterior bulging margins. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"DIAGNOSIS_Quadriceps_suprapatellar_fat_pad_impingement_syndrome\"><\/span><strong>DIAGNOSIS:<\/strong> Quadriceps \/ suprapatellar fat pad impingement syndrome.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><strong>DISCUSSION:<\/strong><\/p>\n\n\n\n<p> Three normal anterior knee fat pads are present at the knee which separates the joint capsule and synovium; the quadriceps (anterior suprapatellar), the femoral (posterior suprapatellar or supratrochlear), and Hoffa (infrapatellar) fat pads. <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter\"><img decoding=\"async\" src=\"http:\/\/radever.com\/blog\/wp-content\/uploads\/2019\/05\/blog03.jpg\" alt=\"\" class=\"wp-image-26\"\/><\/figure><\/div>\n\n\n\n<p>The quadriceps fat pad is the normal fat pad between the suprapatellar recess posteriorly and quadriceps tendon anteriorly (which normally has a concave dorsal margin). The term quadriceps fat-pad impingement is supposed to be an inflammatory process within the anterior suprapatellar fat, manifested on MRI as high T2 signal, low T1 signal with convex dorsal margins.<\/p>\n\n\n\n<p>A study by Roth, et al demonstrates Anterior knee pain at physical examination was associated with quadriceps fat pad mass effect (chi(2) = 8.76, p = 0.0031), medial collateral ligament abnormality (chi(2) = 4.83, p = 0.0031), and history of anterior knee pain (chi (2) = 22.76, p &lt; 0.0001). Enlargement of the quadriceps fat pad on MRI has a prevalence of 12% and is significantly associated with intermediate or fluid signal intensity of the quadriceps fat pad and anterior knee pain. However, none of the patients in the study by Roth had a history of direct trauma or overuse. The abnormality thus may have a developmental cause related to the anatomy of the extensor mechanism or may be related to abnormal mechanics (ref: research gate.net).<\/p>\n\n\n\n<p><strong>Other impingements<\/strong> or friction syndromes occurring in relation to an anterior compartment or peripatellar fat pads are 1. Iliotibial band friction syndrome 2. Patellar tendon lateral femoral condyle friction syndrome (PT-LFCFS) 3. Hoffa disease or <strong>infrapatellar fat pad impingement syndrome.<\/strong><\/p>\n<a href=\"https:\/\/onespin-casino.co.uk\/\" rel=\"nofollow\">https:\/\/onespin-casino.co.uk\/<\/a>","protected":false},"excerpt":{"rendered":"<p>QUADRICEPS \/ SUPRAPATELLAR FAT PAD IMPINGEMENT SYNDROME: Dr. Ashutosh Pawale. Clinical presentation: A 28-year-old man was referred to an MRI center for intermittent anterior knee pain and mild swelling for 3 months. No history of trauma was given. A sagittal fat saturation image demonstrates a thickened, edematous suprapatellar fat pad (blue arrow), with posterior bulging [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[3],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.9.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Radever Teaching Files May 2019 - Radever Teleradiology<\/title>\n<meta name=\"description\" content=\"Radever Teleraddiology provides Teleradiology services to hospitals, imaging centers, physicians and diagnostic clinics worldwide.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Radever Teaching Files May 2019 - Radever Teleradiology\" \/>\n<meta property=\"og:description\" content=\"Radever Teleraddiology provides Teleradiology services to hospitals, imaging centers, physicians and diagnostic clinics worldwide.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/\" \/>\n<meta property=\"og:site_name\" content=\"Radever Blog\" \/>\n<meta property=\"article:published_time\" content=\"2019-05-02T18:09:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-02-26T13:16:51+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/radever.com\/blog\/wp-content\/uploads\/2019\/05\/blog01.jpg\" \/>\n<meta name=\"author\" content=\"Dr. Ashutosh Pawale\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. Ashutosh Pawale\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/\",\"url\":\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/\",\"name\":\"Radever Teaching Files May 2019 - Radever Teleradiology\",\"isPartOf\":{\"@id\":\"https:\/\/radever.com\/blog\/#website\"},\"datePublished\":\"2019-05-02T18:09:38+00:00\",\"dateModified\":\"2025-02-26T13:16:51+00:00\",\"author\":{\"@id\":\"https:\/\/radever.com\/blog\/#\/schema\/person\/22fe6261408378f86e032a8f60e44da6\"},\"description\":\"Radever Teleraddiology provides Teleradiology services to hospitals, imaging centers, physicians and diagnostic clinics worldwide.\",\"breadcrumb\":{\"@id\":\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/radever.com\/blog\/welcome-to-radever-teleradiology\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/radever.com\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Radever Teaching Files May 2019\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/radever.com\/blog\/#website\",\"url\":\"https:\/\/radever.com\/blog\/\",\"name\":\"Radever Blog\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/radever.com\/blog\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/radever.com\/blog\/#\/schema\/person\/22fe6261408378f86e032a8f60e44da6\",\"name\":\"Dr. Ashutosh Pawale\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/radever.com\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/59848e018cb5fa39146a2444412e2ed5?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/59848e018cb5fa39146a2444412e2ed5?s=96&d=mm&r=g\",\"caption\":\"Dr. Ashutosh Pawale\"},\"description\":\"Dr. Ashutosh Pawale, consultant, Radever Teleradiology. 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