A real-time ultrasound image using colour Doppler technology, depicting a degenerative patella tendon with neovessel encroachment, penetrating the ventral aspect of the tendon, from the Hoffa's fat pad. A real-time ultrasound image using colour Doppler technology, depicting a degenerative patella tendon with neovessel encroachment, penetrating the ventral aspect of the tendon, from the Hoffa's fat pad. Bradley Stephen Neal, and Jennie Longbottom Acupunct Med doi:10.1136/acupmed-2012-010208 Copyright © British Medical Acupuncture Society. All rights reserved.