Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey

IF 1.5 Q3 ORTHOPEDICS

Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology Pub Date : 2025-02-01 DOI:10.1016/j.asmart.2025.01.003

Svea Faber , Philipp W. Winkler , Ralf Henkelmann , Theresa Diermeier , Wolf Petersen , Maurice Balke , Sebastian Metzlaff , Sebastian Colcuc , Gerald Zimmermann , Philip P. Roessler , Thomas R. Niethammer

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引用次数: 0

Abstract

Purpose

The MPP (medial patella plica) has garnered increasing clinical attention due to its potential role in patellofemoral pain syndromes. While often an anatomical relic without pathological significance, inflammation or mechanical irritation of this structure can lead to plica syndrome, causing significant clinical symptoms. The purpose of this study was to analyze the current care situation regarding plica syndrome of the knee among a large number of experienced knee surgeons.

Methods

An online survey targeting the current care practices for plica syndrome was conducted among members of the German Knee Society (DKG). The survey was comprised 15 questions regarding diagnostic and treatment approaches. Data were collected anonymously and analyzed using IBM SPSS Statistics Version 26.0.

Results

A total of 238 surgeons participated. Most respondents (84 %) agreed that plica syndrome could cause patellofemoral pain. The typical patient profile was predominantly female (77.7 %), aged 21–30 years (57.6 %). The majority of surgeons use magnetic resonance imaging (MRI) combined with clinical examination (58.0 %) to diagnose an MPP, and 54.2 % of surgeons resected the plica upon finding significant intraoperative evidence of impact on the patellofemoral joint. Hemarthrosis and persistent pain were the most reported complications, though 83.2 % of surgeons observed a complication rate below 11 %.

Conclusion

This study provides a comprehensive overview of current practices and opinions regarding plica syndrome among experienced German knee surgeons. It emphasizes the need for further research to standardize diagnostic and therapeutic approaches, aiming to optimize patient outcomes in plica-related knee pathologies.

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德国膝关节外科医生治疗膝关节内侧皱襞-皱襞调查

目的：内侧髌骨皱襞（MPP）因其在髌股疼痛综合征中的潜在作用而引起了越来越多的临床关注。虽然通常是无病理意义的解剖遗迹，但该结构的炎症或机械刺激可导致皱襞综合征，引起显著的临床症状。本研究的目的是分析大量经验丰富的膝关节外科医生对膝关节皱襞综合征的护理现状。方法对德国膝关节学会（DKG）会员进行针对皱襞综合征护理现状的在线调查。该调查包括15个关于诊断和治疗方法的问题。数据匿名收集，使用IBM SPSS Statistics Version 26.0进行分析。结果共238名外科医生参与。大多数应答者（84%）同意皱襞综合征可引起髌骨痛。典型患者以女性为主（77.7%），年龄21-30岁（57.6%）。大多数外科医生使用磁共振成像（MRI）结合临床检查来诊断MPP(58.0%)， 54.2%的外科医生在术中发现明显的髌股关节撞击证据后切除了皱襞。尽管83.2%的外科医生观察到并发症发生率低于11%，但关节出血和持续疼痛是报道最多的并发症。结论：本研究提供了德国经验丰富的膝关节外科医生目前关于皱襞综合征的实践和观点的全面概述。它强调需要进一步的研究来规范诊断和治疗方法，旨在优化患者的预后，在与膝关节弯曲相关的病理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Asia-Pacific Journal of Sport Medicine Arthroscopy Rehabilitation and Technology Multiple-

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

98 days

期刊介绍： The Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology (AP-SMART) is the official peer-reviewed, open access journal of the Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) and the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS). It is published quarterly, in January, April, July and October, by Elsevier. The mission of AP-SMART is to inspire clinicians, practitioners, scientists and engineers to work towards a common goal to improve quality of life in the international community. The Journal publishes original research, reviews, editorials, perspectives, and letters to the Editor. Multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines will be the trend in the coming decades. AP-SMART provides a platform for the exchange of new clinical and scientific information in the most precise and expeditious way to achieve timely dissemination of information and cross-fertilization of ideas.