Advertisement

Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 19, Issue 2, pp 218–221 | Cite as

Does an abnormal infrapatellar plica increase the risk of chondral damage in the knee

  • Mert OzcanEmail author
  • Cem Copuroğlu
  • Mert Ciftdemir
  • Fatma Nesrin Turan
  • Osman Uğur Calpur
Knee

Abstract

Purpose

The aim of this study was to evaluate abnormal infrapatellar plicae that cause chondral lesions on the patellofemoral sulcus and superior aspect of intercondylar notch.

Methods

In this study, 133 abnormal infrapatellar plicae were evaluated. The abnormal infrapatellar plicae may lead to chondral lesions on the superior portion of intercondylar notch and on the inferior portion of the patellofemoral sulcus with striking, friction, and compression forces during knee motion.

Results

The chondral lesions that were caused by abnormal infrapatellar plicae were more severe than the chondral lesions that were caused by normal infrapatellar plicae. The width of the plica did not affect the severity of chondral lesions.

Conclusion

Abnormal infrapatellar plicae might be one of the causes of chondral lesions on the superior portion of intercondylar notch and on the patellofemoral sulcus. The width of the plica did not affect the severity of chondral lesions.

Keywords

Abnormal Infrapatellar plica Chondral lesion Intercondylar notch Patellofemoral sulcus 

References

  1. 1.
    Boyd CR, Eakin C, Matheson GO (2005) Infrapatellar plica as a cause of anterior knee pain. Clin J Sports Med 15:98–103CrossRefGoogle Scholar
  2. 2.
    Calpur OU, Tan L, Gurbuz H, Moralar U, Copuroglu C, Ozcan M (2002) Arthroscopic mediopatellar plicaectomy and lateral retinacular release in mechanical patellofemoral disorders. Knee Surg Sports Traumatol Arthrosc 10:177–183CrossRefPubMedGoogle Scholar
  3. 3.
    Cannon WD Jr (1994) Arthroscopic survey of the knee joint. In: Scott WN (ed) The Knee. St Louis Baltimore Boston Chicago London Madrid Philadelphia Sydney Toronto: Mosby: 499–500Google Scholar
  4. 4.
    Cothran RL, McGuire PM, Helms CA, Major NM, Attarian DE (2003) MR Imaging of infrapatellar plica injury. Am J Roentgenol 180:1443–1447Google Scholar
  5. 5.
    Demirag B, Ozturk C, Karakayali M (2006) Symptomatic infrapatellar plica. Knee Surg Sports Traumatol Arthrosc 14:156–160CrossRefPubMedGoogle Scholar
  6. 6.
    Flanagan JP, Trakru S, Meyer M, Mullaji AB, Krappel F (1994) Arthroscopic excision of symptomatic medial plica. Acta Orthop Scand 65:408–411CrossRefPubMedGoogle Scholar
  7. 7.
    Gurbuz H, Calpur OU, Ozcan M, Kutoglu T, Mesut R (2006) The synovial plicae in the knee joint. Saudi Med J 27:1839–1842PubMedGoogle Scholar
  8. 8.
    Jackson RW (1996) Synovial lesions: plicae. In: McGinty JB (ed) Operative arthroscopy. Lippincott-Raven, Philadelphia, pp 450–454Google Scholar
  9. 9.
    Johnson DP, Eastwood DM, Witherow PJ (1993) Symptomatic synovial plicae of the knee. J Bone Joint Surg Am 75-A:1485–1496Google Scholar
  10. 10.
    Kim SJ, Choe WS (1996) Pathological infrapatellar plica. A report of two cases and literature review. Arthroscopy 12:236–239CrossRefPubMedGoogle Scholar
  11. 11.
    Kim SJ, Choe WS (1997) Arthroscopic findings of the synovial plicae of the knee. Arthroscopy 13:33–41CrossRefPubMedGoogle Scholar
  12. 12.
    Kim SJ, Kim HK, Min BH (1996) Arthroscopic anatomy of the infrapatellar plica. Arthroscopy 12:561–564CrossRefPubMedGoogle Scholar
  13. 13.
    Kosarek FJ, Helmes CA (1999) The MR appearance of the infrapatellar plica. Am J Roentgenol 172:481–484Google Scholar
  14. 14.
    Maffulli N, Testa V, Capasso G (1993) Mediopatellar synovial plica of the knee in athletes: results of arthroscopic treatment. Med Sci Sport Exerc 25:985–988Google Scholar
  15. 15.
    Ogata S, Uhthoff HK (1990) The development of synovial plicae in human knee joints. An embryologic study. Arthroscopy 6:315–321CrossRefPubMedGoogle Scholar
  16. 16.
    Tindel NC (1992) The plica syndrome. Orthop Clin North Am 23:613–616PubMedGoogle Scholar
  17. 17.
    Wilson SA (1994) Anatomy. In: Scott WN (ed) The knee. St Louis, Baltimore, pp 24–26Google Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Mert Ozcan
    • 1
    • 4
    Email author
  • Cem Copuroğlu
    • 1
  • Mert Ciftdemir
    • 1
  • Fatma Nesrin Turan
    • 2
  • Osman Uğur Calpur
    • 3
  1. 1.Medical Faculty, Department of Orthopaedic Surgery and TraumatologyTrakya UniversityEdirneTurkey
  2. 2.Medical Faculty, Department of BiostatisticsTrakya UniversityEdirneTurkey
  3. 3.Göztepe Medical Park HospitalIstanbulTurkey
  4. 4.Tip Fakultesi, Ortopedi ve Travmatoloji ADTrakya UniversitesiEdirneTurkey

Personalised recommendations