alexa A Rare Painful Mediopatellar Plica and Cord-Like Structure Complex in the Knee Joint
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

A Rare Painful Mediopatellar Plica and Cord-Like Structure Complex in the Knee Joint

Yukio Nakamura1,2*, Seneki Kobayashi3 and Hiroyuki Kato2
1Department of Orthopaedic Surgery, Showa Inan General Hospital, Akaho 3230, Komagane, Japan
2Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi, Matsumoto, Japan
3Department of Orthopaedic Surgery, Suwa Red Cross Hospital, Kogandori, Suwa, Japan
*Corresponding Author : Yukio Nakamura
Department of Orthopaedic Surgery
Shinshu University School of Medicine
Asahi 3-1-1, Matsumoto 360-8621, Japan
Tel: +81-263-37-2659
Fax: +81-263-35-8844
E-mail: [email protected]
Received: December 29, 2015; Accepted: Feburary 05, 2016; Published: Feburary 08, 2016
Citation: Nakamura M, Kobayashi S, Kato H (2016) A Rare Painful Mediopatellar Plica and Cord-Like Structure Complex in the Knee Joint. J Clin Case Rep 6:705. doi:0.4172/2165-7920.1000705
Copyright: © 2016 Nakamura M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Anterior knee pain is a frequent, yet relevant, symptom since mediopatellar plicae are found in approximately 20% of normal knees. We report the rare case of a painful mediopatellar plica and cord-like structure complex covering the suprapatellar pouch in the knee joint. The patient was a 13-year-old girl who complained of left anterior knee pain with restricted range of motion that had started 1 year earlier. She underwent arthroscopic treatment after unsuccessful conservative therapy. Intraoperative findings included a Sakakibara classification Type B mediopatellar plica and band-like structure complex located in the suprapatellar pouch of the knee. As Type A and B plicae are generally asymptomatic, the cause of the pain in this case was presumed to be impingement of the mediopatellar plica by the cord-like band. The plica and band-like structure complex was resected and ablated by arthroscopy. The patient was pain-free several months postoperatively and could resume normal school life. Since she was an adolescent in her growth phase, it is possible that joint growth resulted in tension on the remnant of the plica connected with the band-like structure in the suprapatellar pouch, which then intruded into the medial aspect of the patellofemoral joint and resulted in her symptoms.

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