Sri Dhaatri Orthopaedic, Maternity & Gynaecology Center, SKDGOC, Vijayawada, Andhra Pradesh, India.
Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
JBJS Case Connect. 2021 Jun 8;11(2):01709767-202106000-00094. doi: e20.00827.
We report a rare case of coronal plane infrapatellar plica, also called "Bib-like plica," in a 60-year-old patient. The start-up pain she experienced before arthroscopic excision completely resolved after the procedure. As far as we know, this is the first case of this plica in the literature in a 60-year-old patient who had associated articular cartilage loss over the medial femoral condyle adjacent to the plica, with positive magnetic resonance imaging findings outlining the structure, possibly impinging the infrapatellar fat pad.
Excision of a symptomatic plica by arthroscopy resulted in complete relief of pain in this patient.
我们报告了一例罕见的冠状面髌下纤维束，也称为“Bib 样纤维束”，发生于一位 60 岁的患者。在关节镜切除前，她经历了起始痛，术后完全缓解。据我们所知，这是首例在 60 岁患者中发现的髌下纤维束，该患者内侧股骨髁临近纤维束处有关节软骨缺失，且磁共振成像阳性，提示该结构可能撞击髌下脂肪垫。
关节镜下切除有症状的纤维束可使该患者的疼痛完全缓解。
