Excerpt from Medial Synovial Plica Irritation
Synonyms, Key Words, and Related Terms: suprapatellar plica, medial retinaculum
Background
The medial suprapatellar plica of the knee is an intra-articular synovial fold on the medial aspect of the knee. This plica is one of the most common sources of knee pain in patients; however, a proper rehabilitation program allows most patients to recover from the symptoms associated with irritation of this structure.
Frequency
United States
No exact numbers on the incidence of patients with an irritated synovial plica are available; however, it is estimated that approximately 50% of patients who present with knee pain to a physician's office have some irritation of their patellofemoral joint. In this group of patients, most of them have some amount of suprapatellar plical irritation.
Functional Anatomy
The suprapatellar plica is an intra-articular synovial fold, which has its main component on the medial aspect of the knee. When the knee is in full extension, the suprapatellar plica commonly forms a shelf, which can be palpated by an examiner. Proximally, the plica is attached to the articularis genu muscle. Distally, it is attached to the anterior horn of the medial meniscus and the medial edge of the retropatellar fat pad. In some patients, this plical shelf can become fibrotic and may impinge on the medial edge of the medial femoral condyle.
Sport-Specific Biomechanics
The quadriceps muscles and the articularis genu muscle dynamically control the medial suprapatellar plica. Good quadriceps tone seems to result in normal motion of this plica, whereas patients with poor quadriceps tone or tight hamstring muscles (antagonists of the quadriceps) commonly have irritation of their synovial plica.
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