Medial patellar plica
Last revised by Ayla Al Kabbani on 27 Jul 2022
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Al Kabbani A, Haouimi A, et al. Medial patellar plica. Reference article, Radiopaedia.org (Accessed on 12 Oct 2024) https://doi.org/10.53347/rID-67633
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rID:
67633
Article created:
16 Apr 2019,
Yuranga Weerakkody ◉
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
27 Jul 2022,
Ayla Al Kabbani ◉
Disclosures:
At the time the article was last revised Ayla Al Kabbani had no recorded disclosures.
View Ayla Al Kabbani's current disclosures
Revisions:
8 times, by
6 contributors -
see full revision history and disclosures
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Synonyms:
- Medial patellar plicae
- Medial patella plica
The medial patellar plica is one of the synovial plicae of the knee.
On this page:
Gross anatomy
It is a fold of synovium and thought to represent embryologic remnants. It is considered the most symptomatic of all plicae.
Subtypes
The Sakakibara arthroscopic classification scheme is one used for the classification of medial patellar plicae:
- type A: consists of a cordlike elevation in the synovial wall
- type B: has a shelflike appearance but does not cover the anterior surface of the medial femoral condyle
- type C: large with a shelflike appearance and covers the anterior surface of the medial femoral condyle
- type D: plica has a central defect (fenestrated plica)
Radiographic features
MRI
- T2/PD: perhaps best seen on an axial image of an arthrographic study as a small band extending from the medial aspect of the knee joint
Related pathology
References
- 1. Lee PYF, Nixion A, Chandratreya A, et al. Synovial Plica Syndrome of the Knee: A Commonly Overlooked Cause of Anterior Knee Pain. (2017) Surgery journal (New York, N.Y.). 3 (1): e9-e16. doi:10.1055/s-0037-1598047 - Pubmed
- 2. Roberto García-Valtuille, Faustino Abascal, Luis Cerezal, et al. Anatomy and MR Imaging Appearances of Synovial Plicae of the Knee1. (2002) RadioGraphics. 22 (4): 775-84. doi:10.1148/radiographics.22.4.g02jl03775 - Pubmed
- 3. Griffith CJ, LaPrade RF. Medial plica irritation: diagnosis and treatment. (2008) Current reviews in musculoskeletal medicine. 1 (1): 53-60. doi:10.1007/s12178-007-9006-z - Pubmed
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