Kager’s Triangle Fat Pad Inflammation and Edema

Kager’s Triangle Fat Pad: This fat pad can have inflammation and edema develop. The most common cause is Achilles tendonitis or even more SEVERE damage.

What Is The Kager’s Triangle Fat Pad?

• Kager’s fat pad is located above the back of the heel.
• It is frequently effected by changes to the achilles tendon.
• It is also effected by changes to the calcaneus & tibia.

 

Kager’s Fat Pad Edema:

• Kager’s fad pad edema can occur when there is any damage at all to the Kager’s triangle and the fat pad within this.
• The fat within this area does not really serve any anatomically purpose and it does not actually get sore by itself.
• The main problem with this is that as the structures around this get sore you can get some swelling.

 

Kager’s Fat Pad Inflammation Treatment:

• The best way to provide Kager’s fat pad inflammation treatment is to correct the problems causing the swelling and inflammation within this structure.
• The number one most common cause is achilles tendonitis.
• Wearing proper shoes, proper inserts and proper support can take care of this the quickest.
• This is also known as heel bursitis, this is something that can very easily be treated.

 

Kager’s Triangle Fat Pad Has 3 Borders:

• The calcaneus inferiorly.
• The achilles tendon posteriorly.
• The tibia and flexor hallucis longus anteriorly.
• The retro-calcaneal bursa is sutated in the posterior inferior of the triangle.

 

Non-Achilles Tendon Changes In Kager’s Triangle Fat Pad:

Decreased appearance in:

• Posterior ankle joint effusion.
• Retrocalceanal bursitis, at the posterior inferior corner.
• Os trigonum syndrome at the posterior talus.
• Flexor hallucis longus tenosynovitis.
• Fracture of the calcaneus.
• Calcaneal bone tumors.
• Any cortical disruptions in the area.

 

Achilles Tendon Changes In Kager’s Triangle Fat Pad:

• Decreased appearance in:
• Achilles tendon peritendinitis.
• Fully ruptured or partially ruptured Achilles tendon.
• Inflammation or degeneration of the Achilles tendon (tendinosis).
• Positive Arner’s sign: tendo achilles deviates anteriorly due to rupture.
• Toygar’s angle decrease: normally 150 degrees, but gets smaller after rupture. The skin becomes more concave and a dell is appreciated.
• Ossification of the Achilles tendon.

 

 

Flexor Hallucis Longus Changes In Kager’s Triangle Fat Pad:

• Os trigonum syndrome is the most common abnormal condition.
• This is usually due to micro trauma & chronic inflammation of the cartilaginous synchondrosis.
• The ossicle may be fractured.
• This usually shows concurrent inflammation of the FHL.
• There could also be full tears, partial tears and tenosynovitis.
• Various sheath tumors are possible as well.