Dimensional changes of Hoffa’s fat pad related to aging: evaluation by MRI

BackgroundHoffa's fat pad is an intra-capsular extra-sinovial structure of the knee joint that has a significant biomechanical and metabolic role, minimizing the influence of stresses created by loading and generating cytokines. Changes in its size can lead to variations in the homeostasis of the knee in elderly patients. This work intends to assess the dimensional variations of Hoffa's fat pad associated to aging in both sexes, using MRI sagittal sequences acquired from the OAI (Osteoarthritis Initiative) database.MethodsWe examined the Hoffa's fat pad sagittal thickness in 217 men and women with knee osteoarthritis who were grouped into four age groups for the study: 40-49; 50-59; 60-69; and 70-80. 3T sagittal IW 2D TSE Fat-suppressed MRI sequences, taken from the OAI (Osteoarthritis Initiative) database, were examined.ResultsHoffa's fat pad thickness was shown to differ significantly between groups in both men and women, decreasing in the older individuals' groups (R = - 0.46; p 0.0001). By dividing the patients into ten-year age groups and by sex, the thickness of both the right knee and the left knee was examined. In fact, the average thickness of Hoffa's fat pad of the right knee was reported to be, in males, 33.6+/- 3 mm in subjects aged between 40 and 49 years, 31+/- 2.4 mm for patients aged between 50 and 59, 30.3 +/- 1.8 mm in the group between 60 and 69 years and 28.7+/- 1.8 mm between 70 and 80 years. In women the values obtained were the following: 29+/- 1.6 mm between 40 and 49 years; 28.9+/- 2.6 mm in the group between 50 and 59 years, 25.3+/- 1.9 mm for patients aged 60 and 69 years and 26+/- 2 mm between 70 and 80 years. Similar results were obtained for the left knee.ConclusionsHoffa's fat pad gradually thins with aging in both male and female patients with knee osteoarthritis, and this can be detected by evaluating the thickness of the fat pad on sagittal MRI sequences.