Pathologic infrapatellar plica.
The fenestra type of infrapatellar plica was noted arthroscopically in a 57-year-old patient with flexion contracture of the knee. It was found to be thickened and fibrotic and to have lost its normal elasticity. The pathologic plica was impinged at the intercondylar notch and trochlea, blocking further extension beyond 25 degrees of knee flexion. After excising the plica, the knee gained a further extension of 17 degrees; however, full extension could not be obtained. The knee gained full extension after notchplasty on the roof at 2 months postoperatively. This is the first report of a pathological infrapatellar plica in an older patient.
Kim
Sung-Jae
SJ
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea. os@yumc.yonsei.ac.kr
Kim
Jin-Yong
JY
Lee
Jin Woo
JW
D001182:Arthroscopy; D001851:Bone Diseases, Metabolic / Q000000981:diagnostic imaging / Q000209:etiology; D017885:Collateral Ligaments / Q000293:injuries; D003286:Contracture / Q000209:etiology* / Q000601:surgery; D003288:Contusions / Q000150:complications; D005260:Female; D005355:Fibrosis; D006801:Humans; D007718:Knee Injuries / Q000150:complications* / Q000175:diagnosis*; D007719:Knee Joint / Q000503:physiopathology; D008875:Middle Aged; D010329:Patella / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D016059:Range of Motion, Articular; D012421:Rupture / Q000150:complications; D000074402:Synovectomy; D013583:Synovial Membrane / Q000196:embryology / Q000293:injuries* / Q000473:pathology*