scholarly journals Plica syndrome after medial patellofemoral ligament reconstruction: a case report

2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Tomoya Iwaasa ◽  
Keiji Tensho ◽  
Suguru Koyama ◽  
Hiroki Shimodaira ◽  
Hiroshi Horiuchi ◽  
...  
Keyword(s):  
Case Report ◽  
Medial Patellofemoral Ligament ◽  
Mpfl Reconstruction ◽  
Recurrent Patellar Dislocation ◽  
Synovial Plica ◽  
Medial Plica ◽  
Medial Plica Syndrome ◽  
History Of ◽  
Plica Syndrome ◽  
The Relationship

Abstract A 16-year-old female with a history of left recurrent patellar dislocation underwent medial patellofemoral ligament (MPFL) reconstruction surgery. Two months postoperatively, the patient presented with medial patellar pain. Left medial plica syndrome was suspected, and we performed a partial arthroscopic resection of the medial synovial plica. The symptom gradually improved after surgery. To the best of our knowledge, there are no reports that discuss the relationship between postoperative pain of MPFL reconstruction and synovial plica as found in this case report. Surgeons should be aware of the possibility that asymptomatic synovial plica could become symptomatic.

Medial Plica Syndrome

2021 ◽  
pp. 565-570
Author(s):  
Charalambos Panayiotou Charalambous
Keyword(s):  
Medial Plica ◽  
Medial Plica Syndrome ◽  
Plica Syndrome

scholarly journals Clinical Outcomes After Medial Patellofemoral Ligament Reconstruction With Suture Fixation of the Gracilis Tendon via Transosseous Tunnels

2020 ◽  
Vol 8 (2) ◽  
pp. 232596711990037
Author(s):  
Hangzhou Zhang ◽  
Mao Ye ◽  
Qingwei Liang
Keyword(s):  
Patellar Dislocation ◽  
Medial Patellofemoral Ligament ◽  
Case Series ◽  
Mpfl Reconstruction ◽  
Suture Fixation ◽  
Recurrent Patellar Dislocation ◽  
Patellar Tilt ◽  
Transosseous Suture ◽  
Patellar Tilt Angle

Background: Several fixation methods have been introduced in medial patellofemoral ligament (MPFL) reconstruction. However, the optimal management of patients with recurrent patellar dislocation remains controversial. Purpose: To present a case series with a minimum 2-year follow-up of 29 patients with recurrent patellar dislocation who underwent a new transosseous suture fixation technique for MPFL reconstruction. Study Design: Case series; Level of evidence, 4. Methods: From January 2014 through February 2016, a total of 29 patients with recurrent patellar dislocation for which the MPFL was reconstructed with transosseous suture patellar fixation were studied. All patients were available for follow-up (mean, 37.52 months; range, 26-48 months). The patellar attachment was fixed by transosseous patellar sutures. The International Knee Documentation Committee (IKDC) subjective knee score, Kujala score, Tegner score, range of motion, congruence angle, patellar tilt angle, and complications were assessed both pre- and postoperatively. Results: No recurrent dislocation was observed in any of the 29 patients for a minimum of 2 years. All outcome scores improved significantly from preoperatively to postoperatively: the average IKDC subjective knee evaluation score from 53 to 87, Kujala from 54 to 90, Lysholm from 50 to 89, and Tegner from 3 to 5 ( P < .001 for all). The congruence angle significantly decreased from 22° preoperatively to –3° postoperatively, and the patellar tilt angle (Merchant) decreased from 23° preoperatively to 5° postoperatively ( P < .001 for both). In total, 25 patients (25/29; 86.21%) were completely pain-free when performing activities of daily living at the last follow-up, and 27 patients (93.1%) rated themselves as very satisfied or satisfied with the results. Conclusion: In patients with chronic recurrent patellar dislocation, transosseous patellar suture fixation for MPFL reconstruction can significantly improve patellar stability and achieve good results at short-term follow-up.

Medial plica syndrome: A review of the literature

2012 ◽  
Vol 25 (4) ◽  
pp. 423-428 ◽  
Author(s):  
Sharath S. Bellary ◽  
Garret Lynch ◽  
Brian Housman ◽  
Ehsan Esmaeili ◽  
Jerzy Gielecki ◽  
...  
Keyword(s):  
Review Of The Literature ◽  
Medial Plica ◽  
Medial Plica Syndrome ◽  
Plica Syndrome

scholarly journals Medial plica syndrome

2010 ◽  
Author(s):  
Henry Knipe ◽  
Hani Salam
Keyword(s):  
Medial Plica ◽  
Medial Plica Syndrome ◽  
Plica Syndrome

A 10-Year Follow-up on Arthroscopic Medial Plica Syndrome Treatments with Special Reference to Related Cartilage Injuries

Cartilage ◽  
2019 ◽  
pp. 194760351989231 ◽  
Author(s):  
Lukasz Paczesny ◽  
Jan Zabrzynski ◽  
Radoslaw Kentzer ◽  
Szymon Gryckiewicz ◽  
Bartosz Lewandowski ◽  
...  
Keyword(s):  
Neuromuscular Control ◽  
Significant Negative Correlation ◽  
Clinical Results ◽  
Long Term Results ◽  
Functional Tests ◽  
Cartilage Lesions ◽  
Medial Plica ◽  
Medial Plica Syndrome ◽  
Plica Syndrome

Objective The aim of this study was to evaluate the factors that can affect long-term results of arthroscopic resection of medial synovial plica of the knee. Design A total of 52 knees in 50 consecutive patients with medial plica syndrome (MPS) were enrolled to prospective study. Preoperatively the age, gender, level of activity, symptoms’ duration, Lysholm knee scoring scale (LKSS), Q angle, range of motion (ROM), and quadriceps output torque (QOT) were recorded. The plica was then arthroscopically excised while plica morphological type and cartilage lesions (International Cartilage Repair Society [ICRS] classification) were registered. The postoperative evaluation was done after 1 month, 3 months, 6 months, 3 years, and 10 years. The final assessment after 10 years covered LKSS, ROM, QOT, and was enriched with functional tests: the single leg squat test (SLS), the modified Ober test (MO), and the manual palpation of the vastus medialis obliquus (VMO). Results The mean LKSS increased from 52 (15-85, SD 16.479) preoperative to 80 (48-100, SD 15.711) at final follow-up examination. A significant negative correlation was found between LKSS and the patients’ age. Cartilage lesions higher than ICRS 1 significantly decreased the final LKSS. Results were significantly better in the subgroups with normal outcome of functional tests. Conclusions Clinical results of arthroscopic plica resection are better in patients without coexisting cartilage lesions. Poor neuromuscular control may contribute to abnormal patella tracking, leading to both medial plica irritation and further cartilage deterioration.

Clinical Diagnosis of Medial Plica Syndrome of the Knee –A Prospective Study

2010 ◽  
Vol 20 (04) ◽  
pp. 277-280 ◽  
Author(s):  
Vijay Shetty ◽  
Sarah Vowler ◽  
Suresh Krishnamurthy ◽  
Andrew Halliday
Keyword(s):  
Prospective Study ◽  
Clinical Diagnosis ◽  
Medial Plica ◽  
Medial Plica Syndrome ◽  
Plica Syndrome ◽  
A Prospective Study
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