:
Synovial plicae are thickenings of the synovial knee membrane; they are very frequent
and often asymptomatic. However, they can become symptomatic due to idiopathic or secondary
causes, like trauma and inflammation of the synovial tissue. Currently, synovial plicae are classified
as infrapatellar, mediopatellar and suprapatellar. The prevalence of the mediopatellar plica
over the other forms of plicae varies between 18% and 60%. The most reported symptom of the
mediopatellar plica is pain located medial to the patella above the joint line. Magnetic Resonance
Imaging (MRI) is the most useful examination to highlight the presence of the plica, its measurement
and exact location. The treatment is initially conservative, i.e. medical treatment and physiotherapy,
however when these fail, the plica should be removed surgically via arthroscopy.
:
In the current paper, we aim to report our clinical experience in the management of medial patellar
plica syndrome by describing the clinical presentation and diagnosis of this condition as well as its
treatment.