![]() Lysholm knee scale scores were compared prior to and postsurgery (preoperative status, 65.22 ± 7.41 vs. Medial pica syndrome full#All patients regained full range of motion. Plica was fenestrated in three patients (13.6%). Twelve knees demonstrated (54.5%) Grade 2 intermediary effusion. Fourteen knees (63.6%) had Grade 2 plica based on thickness. Patients presented with crepitus in 9% of cases (2 of 22), instability in 13.6% (3 of 22), pseudo-locking in 45.4% (10 of 22), and quadriceps atrophy in 54.5% (12 of 22). Subsequent division of the plicae resulted in improvement in seven of the eight knees (87.5%) ( P < 0.01). Results: Only two (20.0%) of the ten knees in which the plicae had not been divided have shown improvement and six (85.7%) of the seven knees in which plica had been divided ( P < 0.05) have shown improvement. Twenty-two knees (20 patients) diagnosed with mediopatellar plica syndrome on MR imaging (MRI), and with no other knee pathology, were treated with arthroscopic division of plicae. The criteria studied were: presence of the plica, interposition into the femoropatellar joint, intraarticular effusion, and fenestrated aspect. MR examinations of the knee joint were performed using QUADKNEE coil on a 1.5-T scanner (Signa, General Electric Medical Systems, Milwaukee, WI, USA). ![]() Materials and Methods: The current study was undertaken over a 2-year period between July 2017 and June 2019 in the department of radiology at a tertiary care hospital in India. The purpose of this study was to identify magnetic resonance (MR) characteristics of the medial plica and to correlate with arthroscopy for cause confirmation in patients with painful knee. Mediopatellar plica is commonly symptomatic. Their classification is based on the location as lateral, mediopatellar, suprapatellar, and infrapatellar. ![]() Objective: Synovial plicae are mesenchymal tissue remnants invaginating into the knee joint. ![]()
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