The medial patellar plica syndrome

Author:

Nottage Wesley M.1,Sprague Norman F.2,Auerbach Burt J.3,Shahriaree Hesmet4

Affiliation:

1. Saddleback Medical Center, Laguna Hills, California

2. Beverly Hills Medical Center, Los Angeles, California

3. Arcadia Methodist Hospital, Arcadia, California

4. West Covina Hospital, West Covina, California

Abstract

A retrospective review of all patients diagnosed at arthroscopy as having a medial patellar plica with no other intraarticular pathology was conducted. Charac teristic clinical findings, including pseudolocking, were identified. The clinical response of 68 patients (78 knees) to shelf resection was noted at 3 and 6 months. The 6-month review demonstrated 60% to be totally relieved of their preoperative pain and 31 % with occa sional discomfort, but capable of full activities. Three patients were graded with poor results (4%) due to limitations in their work and sports, and four patients were lost to followup. The overall good and excellent results totalled 91 %. No surgical complications, infec tions, or wound dehiscences were noted.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Reference11 articles.

1. Aoki T., Takano Y., Kishimoto C. A case of internal derangement of the knee due to the so-called shelf J Jap Orthop Assoc 39 933, 1965

2. Hardaker WT, Whipple TL, Bassett FH Diagnosis and treatment of the plica syndrome of the knee J Bone Joint Surg 62A 211-225, 1980

3. Hughston JC, Whatley GS, Dodelin RA, Stone MM The role of the suprapatellar plica in internal derangement of the knee Am J Orthop 5 25-27, 1963

4. lino S. Normal arthroscopic findings in the knee joint of adult cadavers J Jap Orthop Assoc 14 467-523, 1939

5. Mayeda T. Ueber das Strangartige Gebilde in der Knigelenkhoehle (chorda cavi articularis genu) Mitt Med Fak Kaiserl Univ Tokyo 21 507-533, 1918

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