The effects of medial synovial plica excision with and without lateral retinacular release on adolescents with anterior knee pain

Author:

Kramer Dennis E.12,Kalish Leslie A.1,Abola Matthew V.1,Kramer Elizabeth M.1,Yen Yi-Meng1,Kocher Mininder S.1,Micheli Lyle J.1

Affiliation:

1. Division of Sports Medicine, Department of Orthopaedic Surgery, Boston Childrens Hospital, Harvard Medical School, Boston, MA USA

2. 300 Longwood Ave, 02115, Boston, MA USA

Abstract

Objectives To describe the functional outcomes in patients aged ≤18 years with anterior knee pain treated with medial plica excision with or without lateral release. Methods We identified 135 patients including 30 bilateral cases (165 knees) with a mean ± SD age of 15.1 ± 2.0 years. Patient and surgical information was recorded and a follow-up athletic questionnaire and an International Knee Documentation Committee (IKDC) Subjective Knee Evaluation form were sent out. Statistical analysis evaluated predictors of residual pain, reoperation, return to sports, IKDC score and satisfaction with surgery. Results At a final mean follow-up of 4.4 years (range 2–7.5), 36 % of patients were pain free, 46 % had mild residual pain and 18 % had pain not improved from surgery. Reoperation was more likely following isolated plica excision (7/41; 17 %) versus plica excision with lateral release (8/124; 6 %), although not statistically significant, P = 0.06. Mean IKDC score (107 knees) was 76.9 ± 17.8 (range 31–100). Most patients (86/99; 87 %) were satisfied with surgery and were able to return to sports (104/120; 87 %). Conclusions While most patients were satisfied and able to return to sports following plica excision with or without lateral release, residual symptoms were common.

Publisher

SAGE Publications

Subject

Orthopedics and Sports Medicine,Pediatrics, Perinatology and Child Health

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Managing the lateral side of the patellofemoral joint;Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine;2022

2. Clinical Management of Medial Patellar Plica Syndrome: Mini Review from Diagnosis to Treatment;Current Rheumatology Reviews;2020-03-05

3. Lateral Lengthening and Lateral Release;Operative Techniques in Sports Medicine;2019-12

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