Medial plica

Case contributed by Dr Tim Luijkx

Presentation

Anterior and medial knee pain. History of arthroscopy, no trauma.

Patient Data

Age: 30
Gender: Male
MRI

Retropatellar cartilage tear covering less than half of cartilage thickness. At this level there is a medial plica extending from the medial side of the joint into the patellofemoral compartment. No cartilage defects elsewhere.

Intact cruciate, collateral and other ligamentous structures. No bone marrow oedema. Normal menisci.

Subtle focus of high signal intensity on T2 fat sat images superolaterally in Hoffa's fat pad with no evident patellar subluxation.

Case Discussion

Plica medialis.

Superolateral impingement.

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Case information

rID: 34322
Case created: 14th Feb 2015
Last edited: 3rd Sep 2015
Inclusion in quiz mode: Excluded

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