Objective: Observing the clinical effect of treatment of infrapatellar fat pad injury by sharp and hook needle and exploring perfect method of treatment of this disease.

Mehtods: Patient is face up, flexes knee joints, places planta pedis on bed smoothly. Perform regular sterilization on painful points located between lower border of patella and tibia tuberosity, insert an acupuncture needle into the lower part of patella ligament with the needle-tip toward the knee joint cavity and 45 degree able between the needle body and the skin, hold the hook-needle handle to prick the tissues vertically, then lift the hook needle up to the upper part of fat pad. Hold the needle obliquely with an angle of 15° between the needle body and the ligament surface to prick the tissues between the patella ligament and the fat pad, then lift the needle up to the ligament and insert the needle into opposite direction. Repeat these manipulations to separate the other side patella ligament and fat pad. Remove the hook needle, apply medicated band-aid externally to prevent the needle hole from infection. If the tender painful point is located on regions posterior to lower l/2 part of patella doctor should flatly place the diseased leg of patient on bed, press the medial and lateral border of the patella bottom with thumb and index finger of the left hand, push them to remote side to cause the patella to bulge toward the anterior-upper side. Exposed the tender-point thoroughly, hold the sharp-hook needles with the right hand to insert it into the tender point, then hook the tissues vertically and separate the tissues horizontally when needle tip is on bone surface. Apply medicated band-aid externally after needles are taken out. Order the patients to bend and stretch limbs a few days after operation to prevent new adhesion, and give the patients oral dexamethasone and indomethacin with small dosage.

Results: After treatment for 1 to 3 times, 50 cases are has been cured (knee pain disappeared, and dose not rehappen within half year), 9 cases are obviously effective (knee pain disappear, patients only feel soreness and distension in knee joints, lassitude when get tired or ascend a height). General effective rate is 100%.

Conclusion: Treatment of disease given by this method has a good effect and is worth of popularization.

By Cheng Qingping, Gao Shan & Liu Dongming