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International Orthopaedics

, Volume 32, Issue 6, pp 799–804 | Cite as

Arthroscopic treatment of symptomatic type D medial plica

  • Mustafa UysalEmail author
  • Mehmet Asik
  • Sercan Akpinar
  • Feyyaz Ciftci
  • Necip Cesur
  • Reha N. Tandogan
Original Paper

Abstract

We aimed to review the results of subtotal arthroscopic resection of symptomatic type D medial plica. We retrospectively evaluated 23 knees with symptomatic type D medial plica in 22 patients without other intra-articular pathology. All patients complained of chronic knee pain that had not been alleviated by medical treatment or physical therapy. In only three (13%) of the patients studied was the plica diagnosed pre-operatively with magnetic resonance imaging. The type D medial plicae in our series were classified as fenestrated (14 knees), torn (5 knees), or reduplicated (4 knees). Fibrotic changes in the plicae and degenerative changes on the medial femoral condyle were found in 16 knees Patellofemoral chondromalacia was present in three knees Arthroscopic partial resection was performed in all patients. Comparative Lysholm Knee Scale scores before and after surgery revealed a significant clinical improvement (pre-operative status, 67.19 ± 8.05 vs. post-operative status, 90.57 ± 9.80; P < 0.001). Type D medial plica should be considered as a possible cause of chronic knee pain. Arthroscopic partial resection of the plicae in symptomatic patients gives satisfactory results.

Keywords

Medial plica Patellofemoral pain Arthroscopy 

Résumé

Nous avons revu, pour cette étude, les résultats de la résection arthroscopique des plica internes symptomatiques de type B. Cette étude rétrospective a évalué 23 genoux présentant une telle pathologie dont 22 patients sans autre anomalie intra-articulaire. Tous les patients se plaignaient de douleurs chroniques du genou non améliorées par le traitement médical ou kinésithérapique. Seulement 3 patients (13%) ont bénéficié d’un diagnostic pré-opératoire par IRM. Ceux-ci étaient classés dans notre série comme « fenestré » (14 genoux), rompus (5 genoux) et redupliqués (4 genoux). Des modifications fibreuses et dégénératives du condyle fémoral interne ont été trouvées dans 16 genoux de même qu’une chondramalasie fémoro patellaire (3 genoux). Une résection arthroscopique a été réalisée chez tous les patients. Ceux-ci ont été évalués selon le score de Lysholm en pré et post-opératoire. L’amélioration a été significative (en préopératoire, 67,19 ± 8,05, post-opératoire 90,57 ± 9,80 , P < 0,001). Le plica interne de type B peut donc être considéré comme une cause possible de douleur chronique du genou, sa résection arthroscopique entraîne des résultats parfaitement satisfaisants.

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Mustafa Uysal
    • 1
    • 3
    Email author
  • Mehmet Asik
    • 2
  • Sercan Akpinar
    • 1
  • Feyyaz Ciftci
    • 2
  • Necip Cesur
    • 1
  • Reha N. Tandogan
    • 1
  1. 1.Department of Orthopedics and TraumatologyAdana Medical Center, Baskent University School of MedicineAdanaTurkey
  2. 2.Department of Orthopedics and TraumatologyIstanbul School of Medicine, Istanbul UniversityIstanbulTurkey
  3. 3.Baskent Universitesi Týp FakultesiAdana Uygulama ve Arastýrma Merkezi Dadaloglu Mah.39.Sok. No: 6Yuregir/AdanaTurkey

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