Other Articles |

Medial Genicular Fat Pad Thrombosis as a Cause of Knee Pain

Irwin M. Siegel, M.D.; Sidney Sideman, M.D.
JAMA. 1961;176(8):691-692. doi:10.1001/jama.1961.63040210016011c.
Text Size: A A A
Published online

A COMMON orthopedic complaint is that of pain about the medial aspect of the knee. An uncommon cause is traumatic venous thrombosis of the medial genicular fat pad.

Diagnostic Considerations 

Anatomy.—  A fat pad overlying the anteromedial aspect of the knee joint is among those areas of body fat which undergo hypertrophy in the obese patient. Draining this adipose deposit are branches of the greater saphenous vein (see the figure).1 In this vulnerable position these venous tributaries are subject to trauma with subsequent thrombosis.

History.—  Patients with this syndrome are usually middle-aged obese females, presenting with pain, swelling, and occasional ecchymosis of one or both medial genicular fat pads. The history is one of gradual onset without unusual trauma. The symptoms may be somewhat relieved by rest.

Examination.—  Physical examination reveals hypertrophy of the fat pads lying along the anteromedial aspect of the knee joints. Some


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.