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Infrapatellar fat pad becomes impinged on the anterior knee, leading to Hoffa's disease, which presents with pain, dysfunction and effusion.
During this phase, Hoffa's disease causes transformation of fibrocartilaginous tissue and ossification of degenerative IFP tissue (imitating soft tissue chondroma).
In conclusion, Hoffa's disease, which presents with inflammation in the IFP mostly after trauma or surgical interventions, is a rare condition and may not be considered at first.