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Sports Medicine
intermediate
X-Type

Plica Syndrome

Knee Conditions

A 25-year-old runner presents with medial knee pain that worsens with prolonged sitting and stair climbing. She reports a snapping sensation over the medial femoral condyle with knee flexion. On examination, there is tenderness over the medial parapatellar region with a palpable cord-like structure. Flexion and extension reproduce the snapping. MRI shows a thickened mediopatellar plica. Regarding plica syndrome:

Mark each as TRUE or FALSE

A

Plicae are synovial folds that are embryological remnants from the division of the knee into three c...

B

Symptoms occur when the plica becomes inflamed, thickened, or fibrotic, often following trauma or ov...

C

Plicae are abnormal pathological structures not present in normal knees; the lateral plica is most c...

D

MRI can demonstrate thickened plicae and associated findings (cartilage damage on the medial femoral...

E

Arthroscopic excision is reserved for failed conservative treatment; the plica is resected with a sh...

Answer the questions to see explanations

Click T (True) or F (False) for each option