Department of Anatomical Sciences, School of Medicine, St George's University, Grenada, West Indies.
Clin Anat. 2012 May;25(4):423-8. doi: 10.1002/ca.21278.
Knee pain is a very common complaint seen in the clinical setting. A torn medial meniscus, osteochondral defects, inflammation, or an irritated medial plica are some of the most common causes of medial knee pain. Plicae are synovial invaginations that are believed to be remnants of the embryological development of the knee. They have a potential to become inflamed and symptomatic. Diagnosis of medial plica syndrome involves physical exam and imaging studies, but the current gold standard is arthroscopy and therefore a definitive diagnosis cannot be made until surgery. As such, medial plicae are the most commonly missed diagnoses in the knee as it is purely a clinical diagnosis. Medial plica syndrome can be treated with physiotherapy, corticosteroid injections, or surgery. Overall, good outcomes have been seen following diagnosis and treatment of medial plica syndrome, with patients returning to their preferred levels of activity. This article reviews the topic of medial plica syndrome.
膝关节疼痛是临床中非常常见的一种症状。内侧半月板撕裂、骨软骨缺损、炎症或内侧滑膜皱襞激惹等都是引起膝关节内侧疼痛的常见原因。滑膜皱襞是滑膜的一种深陷，被认为是膝关节胚胎发育的残留物。它们有潜在的炎症和症状表现。内侧滑膜皱襞综合征的诊断包括体格检查和影像学研究，但目前的金标准是关节镜检查，因此直到手术才能做出明确诊断。因此，内侧滑膜皱襞是膝关节最容易被漏诊的疾病，因为它纯粹是一种临床诊断。内侧滑膜皱襞综合征可以通过物理治疗、皮质类固醇注射或手术治疗。总的来说，内侧滑膜皱襞综合征的诊断和治疗后，患者的预后良好，能够恢复到他们喜欢的活动水平。本文综述了内侧滑膜皱襞综合征这一主题。
