Yilmaz C, Golpinar A, Vurucu A, Ozturk H, Eskandari M M
Department of Orthopedics and Traumatology, Mersin University Medical School, Mersin, Turkey.
Int Orthop. 2005 Oct;29(5):291-5. doi: 10.1007/s00264-005-0676-0. Epub 2005 Aug 11.
Mild symptoms usually continue after excision of the medial patellar plica. We noticed that the palpable tender cord, located on the anteromedial aspect of the knee in patients with plica syndrome, did not disappear completely after excision of the synovial fold. Beneath all plicae, a retinacular band was visible, and only after excisions of this band did the cord become impalpable. We conducted a study to determine the role of these medial retinacular bands in the symptomatology of the disorder. Twenty-four knees of 22 patients diagnosed with medial patellar plica syndrome were divided into two groups. In the first group, arthroscopic excision of the synovial plica was performed. In the second group, retinacular bands beneath the plica were additionally excised. When Lysholm scores were compared, we found that the second group showed significantly greater improvement. We believe that the retinacular bands play a role in the symptomatology and the pathophysiology of plica syndrome and that excision improves the outcome.
内侧髌滑膜皱襞切除术后，轻微症状通常会持续存在。我们注意到，皱襞综合征患者膝关节前内侧可触及的压痛条索，在滑膜皱襞切除后并未完全消失。在所有皱襞下方，可见一条支持带，只有在切除这条支持带后，条索才变得无法触及。我们进行了一项研究，以确定这些内侧支持带在该疾病症状学中的作用。22例诊断为内侧髌滑膜皱襞综合征患者的24个膝关节被分为两组。第一组进行关节镜下滑膜皱襞切除术。第二组在皱襞下方额外切除支持带。比较Lysholm评分时，我们发现第二组的改善明显更大。我们认为支持带在皱襞综合征的症状学和病理生理学中起作用，切除支持带可改善治疗效果。
