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The plica syndrome.

K J O'Dwyer1, P K Peace

  • 1Department of Orthopaedic Surgery, Royal Cornwall Hospital, Truro, Cornwall.

Injury
|September 1, 1988
PubMed
Summary
This summary is machine-generated.

Arthroscopic resection of a pathological medial synovial plica is a worthwhile knee surgery. This study found it effective for patients experiencing knee pain and other symptoms.

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Area of Science:

  • Orthopedic Surgery
  • Knee Arthroscopy
  • Sports Medicine

Background:

  • Synovial plica can become inflamed or thickened, causing knee pain and mechanical symptoms.
  • Medial synovial plica syndrome is a recognized, though sometimes debated, cause of anterior knee pain.

Purpose of the Study:

  • To evaluate the efficacy of arthroscopic resection for pathological medial synovial plica.
  • To correlate preoperative symptoms with postoperative outcomes.

Main Methods:

  • Retrospective review of 89 patients (98 arthroscopies) with noted medial synovial plica.
  • Arthroscopic resection of pathological plica in 86 cases.
  • Preoperative symptom assessment and postoperative follow-up via clinic visits and questionnaires.

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Main Results:

  • The majority of noted plicae (86/98) were deemed pathological and resected.
  • Postoperative outcomes were assessed, showing the procedure to be beneficial.
  • Findings align with existing literature supporting plica resection.

Conclusions:

  • Arthroscopic resection of a pathological medial synovial plica is an effective treatment.
  • The procedure offers a worthwhile solution for patients with symptomatic plica syndrome.
  • Further supports the role of arthroscopic surgery in managing internal knee derangement.