Surgical treatment should be considered when the medial synovial plica covers part of the anterior aspect of the medial femoral condyle or ruptures, or when pain persists over a long period, thus reducing the potential for cartilage damage.Ĭartilage damage Impingement Medial femoral condyle Medial plica syndrome. The shape of the medial synovial plica and the duration between symptom onset and surgery were associated with cartilage damage. Postoperative results were significantly better in the mild than in the severe group (P = 0.0017). The duration from onset to surgery was significantly longer in the severe than in the mild group (29.0 vs. Patellar ballottement tended to be more common in the severe than in the mild group (P = 0.059). The shapes of the medial synovial plica were types C and D of the Sakakibara classification in the severe group, and types A, B, and C in the mild group. Local findings, period from onset to surgery, arthroscopic findings, and postoperative results were compared in the two groups. Subjects were divided into those with severe cartilage damage, defined as International Cartilage Research Society (ICRS) stage 2 or higher, and those with mild cartilage damage, defined as ICRS stage 1 or lower. It can be a common source of anterior knee pain. The study subjects included 44 patients with 57 knees arthroscopically diagnosed with medial plica syndrome. Occasionally, the medial patella plica can become thickened and trapped between the patella and the femur, causing painful clicking and locking. Synonyms: Medial patellar plica syndrome are symptoms that can be associated with the presence of synovial plicae of the knee (most commonly the medial plica ).

Patients commonly have pain on physical examination upon rolling the plica fold of tissue over the anteromedial aspect of their knees and often have tight hamstrings. Patients can complain of pain over the anteromedial aspect of their knees and describe episodes of crepitation, catching, and pseudo-locking events with activities. This study was designed to evaluate the characteristics of patients with medial plica syndrome and associated cartilage damage. Medial plica irritation of the knee is a very common source of anterior knee pain.

Medial pica syndrome