• Journal of the Korean Arthroscopy Society
• /
• v.13 no.3
• /
• pp.259-263
• /
• 2009

The plica is a remnant of the synovial folds during fetal development. The plica is classified suprapatellar, medial patellar, infrapatellar, and lateral patellar plica according to the anatomic site. The one most likely cause of clinical problem is medial patellar plica. There are many reports of problems caused by medial patellar plica syndrome. But there has been no documented case report of Outerbridge classification Grade III-IV, above $2{\times}1.5\;cm$ sized huge cartilage defect of both medial femoral condyle, due to medial patellar plica. So we report this unusual case with a review of relevant literatures.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.10 no.2
• /
• pp.121-123
• /
• 2011

The medial patellar plica may cause symptoms when it becomes thickened and fibrotic because of direct trauma or repetitive sporting activities. The medial plica syndrome has been noticed as one of major causes of internal derangement and well documented in the articles. A few cases of the bucket handle tear of the medial plica are described in liteartures. To our knowledge, however, there have never been reported about it in domestic literatures. We present a case of the bucket handle tear of the medial plica resected by arthroscopic surgery with a review of the relevant articles.

• Journal of the Korean Arthroscopy Society
• /
• v.10 no.1
• /
• pp.108-111
• /
• 2006

We present a case of double medial plica that developed on right knee joint. There has been no documented case of double medial plica of the knee joint. In a general way, double medial plica syndrome is very difficult to diagnose because it does rarely develop and symptoms are non-specific or not present. It is difficult to distinguish between pain originating from the medial plica and from other internal derangement of the knee. This patient had symptoms including aggravating right knee pain with sitting position or knee flexion for 3 months. We performed MRI and arthroscopy for more accurate diagnosis. MRI T1, T2 images showed typical double medial plica and we had performed arthroscopic excision of symptomatic medial plica in right knee joint. Arthroscopic resection provided satisfactory relief of symptom.lasting and satisfactory relieve of symptom.

• Journal of the Korean Arthroscopy Society
• /
• v.3 no.2
• /
• pp.150-154
• /
• 1999

Fenestrated medial patellar plicae are unusual. These fenestrated medial plica may vary in size and shape from being small circular and 5mm in diameter to being large opening 3-4cm long. Arthroscopic resection of the painful medial plica can provide lasting and satisfactory relief of symptoms. There is high percentage of associated medial knee symptoms that are relieved by complete resection. We had performed arthroscopic excision of the symptomatic fenestrated medial plicae present in both knees. The symptoms were dramatically relieved after arthroscopic surgery.

• Journal of Korean Medicine Rehabilitation
• /
• v.33 no.1
• /
• pp.87-96
• /
• 2023

This study aims to evaluate the effect of various Korean medicine treatment techniques on knee pain with medial plica syndrome. We treated three knee pain patients with medial plica syndrome using acupuncture, herbal medicine, pharmacopuncture and cupping during their hospitalization. EuroQol-five dimensions (EQ-5D), Western Ontario and Mcmaster Universities Osteoarthritis Index (WOMAC), numerical rating scale (NRS) and the changes of symptoms were used for patient assessment. There were notable decreases in WOMAC and NRS and a notable increase in EQ-5D of case 1 and 3. There was also an improvement in the symptoms experienced by the patients. Our study is the first case report to demonstrate the applicability and effectiveness of Korean medicine treatment compared to those of the pre-existing surgical and conservative treatments for knee pain patients with medial plica syndrome.