Treatment of a medial plica in the knee among German knee surgeons - The Plica Survey.
| Title: | Treatment of a medial plica in the knee among German knee surgeons - The Plica Survey. |
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| Authors: | Faber S; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Germany.; Winkler PW; Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria.; Henkelmann R; Department of Orthopedics, Trauma and Plastic Surgery, Division of Arthroscopic and Special Joint Surgery/Sports Injuries, University of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.; Diermeier T; Department of Trauma and Orthopaedic Surgery, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany.; Petersen W; Sportklinik Berlin und Klinik für Orthopädie und Unfallchirurgie, Martin-Luther-Krankenhaus, Berlin, Germany.; Balke M; Sportsclinic Cologne, Universität Witten/Herdecke, Köln, Germany.; Metzlaff S; Orthopädie Charlottenburg, St. Joseph Krankenhaus Berlin, Berlin, Germany.; Colcuc S; Department of Arthroscopy, Sports Traumatology and Sports Medicine, BG Klinikum Duisburg, Germany.; Zimmermann G; Theresienkrankenhaus Mannheim, Bassermannstr. 1, Abteilung Unfallchirurgie und Sporttraumatologie, Germany.; Roessler PP; Gelenkzentrum Mittelrhein, Koblenz, Germany.; Niethammer TR; Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Germany. |
| Source: | Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology [Asia Pac J Sports Med Arthrosc Rehabil Technol] 2025 Feb 01; Vol. 40, pp. 18-22. Date of Electronic Publication: 2025 Feb 01 (Print Publication: 2025). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Published by Elsevier (Singapore) Pte Ltd Country of Publication: Singapore NLM ID: 101648546 Publication Model: eCollection Cited Medium: Print ISSN: 2214-6873 (Print) Linking ISSN: 22146873 NLM ISO Abbreviation: Asia Pac J Sports Med Arthrosc Rehabil Technol Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Singapore : Published by Elsevier (Singapore) Pte Ltd., [2014]- |
| Abstract: | Purpose: The MPP (medial patella plica) has garnered increasing clinical attention due to its potential role in patellofemoral pain syndromes. While often an anatomical relic without pathological significance, inflammation or mechanical irritation of this structure can lead to plica syndrome, causing significant clinical symptoms. The purpose of this study was to analyze the current care situation regarding plica syndrome of the knee among a large number of experienced knee surgeons.; Methods: An online survey targeting the current care practices for plica syndrome was conducted among members of the German Knee Society (DKG). The survey was comprised 15 questions regarding diagnostic and treatment approaches. Data were collected anonymously and analyzed using IBM SPSS Statistics Version 26.0.; Results: A total of 238 surgeons participated. Most respondents (84 %) agreed that plica syndrome could cause patellofemoral pain. The typical patient profile was predominantly female (77.7 %), aged 21-30 years (57.6 %). The majority of surgeons use magnetic resonance imaging (MRI) combined with clinical examination (58.0 %) to diagnose an MPP, and 54.2 % of surgeons resected the plica upon finding significant intraoperative evidence of impact on the patellofemoral joint. Hemarthrosis and persistent pain were the most reported complications, though 83.2 % of surgeons observed a complication rate below 11 %.; Conclusion: This study provides a comprehensive overview of current practices and opinions regarding plica syndrome among experienced German knee surgeons. It emphasizes the need for further research to standardize diagnostic and therapeutic approaches, aiming to optimize patient outcomes in plica-related knee pathologies.; (© 2025 Asia Pacific Knee, Arthroscopy and Sports Medicine Society. Published by Elsevier (Singapore) Pte Ltd.) |
| Competing Interests: | The authors have no relevant financial or non-financial interests to disclose. |
| References: | Arthroscopy. 2001 Apr;17(4):415-7. (PMID: 11288017); BMC Musculoskelet Disord. 2013 Oct 12;14:292. (PMID: 24119160); Arch Orthop Trauma Surg. 2021 Jan;141(1):93-98. (PMID: 33140184); Am J Sports Med. 1978 Sep-Oct;6(5):217-25. (PMID: 707680); Surg J (N Y). 2017 Feb 15;3(1):e9-e16. (PMID: 28825013); Knee. 2010 Mar;17(2):103-7. (PMID: 19729314); Knee Surg Sports Traumatol Arthrosc. 2014 Feb;22(2):247-62. (PMID: 23381917); Acta Biomed. 2019 Dec 05;90(12-S):33-38. (PMID: 31821281); Radiology. 2009 May;251(2):439-46. (PMID: 19276324); Arthroscopy. 1990;6(2):79-85. (PMID: 2363784); Surg J (N Y). 2022 Sep 19;8(3):e249-e256. (PMID: 36131946); Knee. 2014 Mar;21(2):486-90. (PMID: 24280039); Arthroscopy. 2011 Nov;27(11):1523-7. (PMID: 21924860); Arch Orthop Trauma Surg. 2019 Nov;139(11):1625-1631. (PMID: 31432206); Iowa Orthop J. 2013;33:78-83. (PMID: 24027465); Clin Anat. 2012 May;25(4):423-8. (PMID: 22331585); Am J Sports Med. 1990 Sep-Oct;18(5):466-9. (PMID: 2252085) |
| Contributed Indexing: | Keywords: Knee joint; Knee pain; Mediopatellar plica; Patella pain; Plica |
| Entry Date(s): | Date Created: 20250220 Latest Revision: 20250222 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11836481 |
| DOI: | 10.1016/j.asmart.2025.01.003 |
| PMID: | 39974848 |
| Database: | MEDLINE |
Journal Article