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The medial patellar plica syndrome
The American Journal of Sports Medicine
|July 1, 1983
Summary
Medial patellar plica surgery effectively relieved pain in 91% of patients, with most experiencing full activity restoration. This study reviewed outcomes following shelf resection for this specific knee condition.
Area of Science:
- Orthopedic Surgery
- Knee Arthroscopy
- Sports Medicine
Background:
- Medial patellar plica syndrome can cause knee pain and pseudolocking.
- Accurate diagnosis is crucial for effective treatment.
Purpose of the Study:
- To evaluate the clinical outcomes of arthroscopic shelf resection for medial patellar plica.
- To assess the efficacy of this surgical intervention in resolving knee pain and restoring function.
Main Methods:
- Retrospective review of patients diagnosed with medial patellar plica via arthroscopy.
- Analysis of clinical findings, including pseudolocking.
- Assessment of patient outcomes at 3 and 6 months post-surgery.
Main Results:
- 91% of patients reported good to excellent results at 6 months.
- 60% experienced complete pain relief; 31% had occasional discomfort but full activity.
- No surgical complications, infections, or wound dehiscences were reported.
Conclusions:
- Arthroscopic shelf resection is a safe and effective treatment for medial patellar plica syndrome.
- The procedure significantly improves pain and function in the majority of patients.
- High success rates support surgical intervention for symptomatic medial patellar plica.