This study has changed our clinical practice and also allowed us to decrease substantially the cost of diagnostic imaging. Symptomatic medial plica can be successfully treated by arthroscopy. It can be a common source of anterior knee pain. Thirty-nine patients (fifty-five knees) showed satisfactory outcome (95% CI: 75.4%, 96.2%) after arthroscopy.Ĭonclusions: We believe that our method of clinical diagnosis of pathological medial plica is simple, non-invasive, economic and reliable. Medial patellar plica syndrome Last revised by Dr Subhan Iqbal on Edit article Citation, DOI & article data Medial patellar plica syndrome are symptoms that can be associated with the presence of synovial plicae of the knee (most commonly the medial plica ). Those with pathological medial plicae at arthroscopy (forty-four patients sixty-two knees), were treated by arthroscopic resection. Results: Arthroscopic examination confirmed our clinical diagnosis of medial plicae in forty-four (sixty-two knees) of these patients showing a diagnostic accuracy of 91.7% (95% confidence interval: 80.0%, 97.7%), sensitivity of 100% (95% CI: 92.0%, 100.0%) with our method. All patients were subjected to arthroscopic examination, to confirm or disprove our clinical diagnosis and, for treatment. Methods: We prospectively studied forty-eight symptomatic patients (sixty-six knees) with clinical suspicion of pathological medial plica based on five “essential” and four “desirable” criteria set by us. We report a system of clinical diagnosis based on the criteria set by us for these painful conditions of the knee. Synovial Plica Syndrome is common in young adults, with the main subjective complaint being an intermittent dull aching pain located in the area medial to. Patients suffer anterior knee pain more often on the medial aspect. However, clinical diagnosis of pathological medial plica is poorly defined in the literature and therefore, arthroscopic diagnosis remains gold standard. However, a pathological medial plica can develop when inflammation and fibrosis occur. Background: Pathological medial plica is known to cause anteromedial knee pain.
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