Medial synovial plica syndrome of the knee: a diagnostic pitfall in adolescent athletes

Irha, Ernest; Vrdoljak, Javor

doi:10.1097/00009957-200301000-00008

Cited by 10 publications

(8 citation statements)

References 7 publications

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“…Although some authors believe that it rarely is symptomatic, is being diagnosed too often, and is confused with meniscal injuries [15,26], there are reports stating that a symptomatic plica is found in 4% of all arthroscopies and constitutes 28% of all internal derangement cases [8,24]. Our finding mirror that of Koshino and Okamoto who reported a symptomatic medial plica to be found in 13% of all arthroscopic procedures [18].…”

Section: Discussionsupporting

confidence: 78%

Retinacular band excision improves outcome in treatment of plica syndrome

Yılmaz

Gölpinar

Vurucu

et al. 2005

International Orthopaedics (SICOT)

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Mild symptoms usually continue after excision of the medial patellar plica. We noticed that the palpable tender cord, located on the anteromedial aspect of the knee in patients with plica syndrome, did not disappear completely after excision of the synovial fold. Beneath all plicae, a retinacular band was visible, and only after excisions of this band did the cord become impalpable. We conducted a study to determine the role of these medial retinacular bands in the symptomatology of the disorder. Twenty-four knees of 22 patients diagnosed with medial patellar plica syndrome were divided into two groups. In the first group, arthroscopic excision of the synovial plica was performed. In the second group, retinacular bands beneath the plica were additionally excised. When Lysholm scores were compared, we found that the second group showed significantly greater improvement. We believe that the retinacular bands play a role in the symptomatology and the pathophysiology of plica syndrome and that excision improves the outcome.Résumé Habituellement des symptômes discrets persistent après excision du plica médiopatellaire. Nous avons constaté que le cordon palpable présent dans la partie antéromédiale du genou chez les malades avec un syndrome de plica n'a pas complètement disparu après excision du repli synovial. Sous tous les plicas une bande retinaculaire était visible et seulement après excision de cette bande le cordon est devenu impalpable. Nous avons conduit une étude pour déterminer le rôle de ces bandes rétinaculaire médiales dans la symptomatologie persistante. Vingt-quatre genoux de 22 malades présentant un syndrome du plica médio patellaire ont été divisés en 2 groupes. L'excision arthroscopique du plica synovial était faite dans le premier groupe et dans le deuxième groupe la bande rétinaculaire sous le plica a été excisée en plus. Quand les scores de Lysholm ont été comparés nous avons vu que le deuxième groupe avait une meilleure améliora-tion, statistiquement significative. Nous croyons que cette bande rétinaculaire joue un rôle dans la symptomatologie et la physiopathologie du syndrome du plica et que son excision améliore le résultat.

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Section: Discussionsupporting

confidence: 78%

Retinacular band excision improves outcome in treatment of plica syndrome

Yılmaz

Gölpinar

Vurucu

et al. 2005

International Orthopaedics (SICOT)

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“…It has also been suggested that normal-looking medial plica, not impinging on the articular surfaces, could be symptomatic as well . This is supported by recent findings which have demonstrated an increase in the amount of nerve endings in the plica after trauma or overuse, indicating increased pain sensitivity and sensation of pain (19,20). The anatomy of the plicas or synovial folds was first described by Mayeda in 1918.…”

Section: Introductionsupporting

confidence: 56%

The Plica: Is a New Aetiological Factor in the Knee Osteoarthritis?

Güney¹,

Kafadar²

2012

Osteoarthritis - Diagnosis, Treatment and Surgery

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“…Symptomatic medial plica is a cause of anterior knee pain (32,33). In this condition, medial synovial plica is interposed between the patella and prefemoral fat pad or medial femoral condyle within the patellofemoral compartment of the knee joint space.…”

Section: Medial Synovial Plica Syndromementioning

confidence: 99%

“…In this condition, medial synovial plica is interposed between the patella and prefemoral fat pad or medial femoral condyle within the patellofemoral compartment of the knee joint space. Medial synovial plica syndrome is well recognized in adolescent athletes (33). MRI is very helpful in distinguishing plica syndrome from other causes of anterior knee pain such as patellar chondromalacia and patellar maltracking.…”

Section: Medial Synovial Plica Syndromementioning

confidence: 99%