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.