Lubiatowski Przemysław, Wałecka Joanna, Dzianach Marcin, Stefaniak Jakub, Romanowski Leszek
Sport Trauma and Biomechanics Unit, University of Medical Sciences, Poznań, Poland.
Rehasport Clinic, Poznań, Poland.
EFORT Open Rev. 2020 Sep 30;5(9):549-557. doi: 10.1302/2058-5241.5.200027. eCollection 2020 Sep.
A synovial plica (fold) is normal anatomic finding, and occurs in 86-100% of cases; however, symptomatic plica is much less common (7.2-8.7% of all elbow arthroscopies).Synovial plica syndrome is a painful elbow condition related to symptomatic synovial plica.Synovial plica syndrome is diagnosed by clinical examination (lateral elbow pain) commonly accompanied by local tenderness, pain at terminal extension and/or painful snapping.Synovial plica syndrome may be mimicked by other elbow conditions, commonly tennis elbow, loose bodies, and degenerative arthritis.Magnetic resonance imaging or ultrasound scan may support diagnosis in correlation with clinical findings, but symptomatic plica may also be diagnosed as unexpected during elbow arthroscopy.The arthroscopic resection is effective and safe if conservative treatment fails. Cite this article: 2020;5:549-557. DOI: 10.1302/2058-5241.5.200027.
滑膜皱襞（折叠）是一种正常的解剖学表现，见于86%至100%的病例；然而，有症状的皱襞则要少见得多（在所有肘关节镜检查病例中占7.2%至8.7%）。滑膜皱襞综合征是一种与有症状的滑膜皱襞相关的肘部疼痛病症。滑膜皱襞综合征通过临床检查（肘部外侧疼痛）诊断，通常伴有局部压痛、终末伸展时疼痛和/或疼痛性弹响。滑膜皱襞综合征可能被其他肘部病症所模仿，常见的有网球肘、游离体和退行性关节炎。磁共振成像或超声扫描可结合临床发现辅助诊断，但有症状的皱襞也可能在肘关节镜检查时意外被诊断出来。如果保守治疗失败，关节镜下切除是有效且安全的。引用本文：2020；5：549 - 557。DOI：10.1302/2058 - 5241.5.200027。
