However, in one study from 2006, 95 percent of people undergoing arthroscopic surgery had some remnant of the synovial plicae. During embryologic development, bands of tissue divide the limbs into joints. Substancep in symptomatic mediopatellar plica as a predictor of. About 60 percent of people who suffer from plica syndrome notice improvement in. You may not embed one of our images on your web page without a link back to our site. In fact, smillie writes of the infrapatellar plica. These bands may persist into adulthood in up to 60% of people, although it infrequently causes symptoms. Arthroscopic treatment of symptomatic synovial plica of the knee. Synovial fluid definition of synovial fluid by merriam. Clinical and diagnostic outcomes in arthroscopic treatment f. Full text plica syndrome and its embryological origins.
For the medial synovial plica the examiner palpates the ligament by rolling the fingers over the plica fold, which is located between the medial border of the patella and the adductor tubercle region of the medial femoral condyle. Reports of the mr imaging appearance of hoffas disease are relatively few, but imaging findings have tended to be more dramatic than the findings in our series, which leads us to. Your knee joint is surrounded by a fluidfilled capsule called the synovial membrane. In all patients, the medial synovial plica will glide over the anteromedial aspect of the medial femoral condyle with. Plicae are synovial invaginations that are believed to be remnants of the embryological development of the knee. What is plica syndrome of the knee, and how do i treat it. Typical soft tissue band in the suprapatellar pouch typical of a plica unusual location ie usually on the medial patellar margin case discussion superior patellar plica. Plica syndrome description the plica is a fold of joint lining synovial tissue that is a remnant of tissue from embryologic development. Knee pain is a very common complaint seen in the clinical setting.
Synovial fluid definition is a transparent viscid lubricating fluid secreted by a membrane of an articulation, bursa, or tendon sheath. During the fetal stage you have three capsules, called the synovial plicae, that grow around the developing knee joint. Plica syndrome is a pathologic process due to inflammation of synovial plicae. The synovial plicae in the knee joint article pdf available in saudi medical journal 2712. A plica is a fold in the thin tissue that lines your knee joint.
Treatment of pathological synovial plicae of the knee ncbi. Ta a ridge or projection of the synovial membrane of a joint extending toward or between the two articular surfaces. The specimens of synovial plica were obtained by knee arthroscopy. The aim of this article is to provide an overview of the imaging appearances of synovial plicae syndrome of the knee on ultrasound, magnetic resonance imaging mri and computerized tomography. Pdf a 38yearold male patient was admitted to our clinic with the complaints of pain and swelling in his right knee for two years. In most patients, this gliding motion of the plica will occur without any symptoms, because of the high viscosity of the native synovial fluid of the knee. If you would like a large, unwatermarked image for your web page or. A torn medial meniscus, osteochondral defects, inflammation, or an irritated medial plica are some of the most common causes of medial knee pain. The plica is a fold in the membrane surrounding your knee joint. We prefer to include the synovial folds of the elbow with the general term of synovi al fold of the radiohumeral joint 6, 9, 10 be elbow synovial fold syndrome luis cerezal1 mario rodriguezsammartino2 ana canga3 carlos capiel 4 javier arnaiz3 antonio cruz5 alejandro rolon6. The clinical importance of the fold, apart from a source of haemorrhage if divided, is that by anchoring the fat pad it may limit expansion in a forward direction when swelling occurs and thus may be responsible for the compression of the synovial membrane.
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