Karaman İbrahim, Güney Ahmet, Gürbüz Kaan, Bilal Ökkeş, Güney Betül
Department of Orthopedics and Traumatology, Medical Faculty of Erciyes University, Kayseri, Turkey.
Eklem Hastalik Cerrahisi. 2013;24(2):117-20. doi: 10.5606/ehc.2013.26.
A 38-year-old male patient was admitted to our clinic with the complaints of pain and swelling in his right knee for two years. He had mechanical symptoms for nearly six months. Merchant and lateral knee X-ray revealed calcification in the medial patellar retinaculum. Magnetic resonance imaging demonstrated increased ossification and cortical irregularity in the patella's medial and inferior pole. Due to long-term complaints of the patient, arthroscopy was planned with the preliminary diagnoses of patellofemoral chondromalacia, cartilage degeneration and mediopatellar plica (MPP) syndrome. Arthroscopy revealed a calcific MPP, an interesting entity. It should be kept in mind that plica may become calcific in patients with suspected MPP and the complaints of the patient may not disappear within if left untreated.
一名38岁男性患者因右膝关节疼痛和肿胀两年入院。他有近六个月的机械性症状。Merchant位和膝关节外侧X线片显示髌内侧支持带钙化。磁共振成像显示髌骨内侧和下极骨化增加及皮质不规则。由于患者长期不适，初步诊断为髌股关节软骨软化症、软骨退变和髌内侧滑膜皱襞（MPP）综合征，计划进行关节镜检查。关节镜检查发现了钙化的MPP，这是一个有趣的情况。应记住，在疑似MPP的患者中滑膜皱襞可能会钙化，若不治疗，患者的不适可能不会消失。
