Doctor insights on:
Medial Plica Treatment
Is the thickening of plica reversible without surgery or does conservative treatment only serves to strengthen muscles to keep the plica from sliding?
Discuss with MD: In those few patients who do not respond to a non-operative treatment program, an arthroscopic resection of their medial plica may be indicated. ...Read more
I had plica removed along with a chondroplasty now I can't straighten my knee. I was told that I have arthrofibrosis. What is the treatment for that?
What is the treatment and prognosis for a knee plica in a 10 YO? Likelihood for full recovery and ability to run again without surgery? In PT now.
Varies: It varies a lot. Some patients may have a plica and do fine, not even knowing they have it. Others have persistent pain, swelling, and popping in the knee and ultimately have surgery. Meds, PT, ice, and possibly injection therapy are the typical nonoperative treatments to varying degrees of success. ...Read more
Diagnosed with plica syndrome. Had physical therapy for 3 months...knee still hurts. Should I consider surgery?
Had cortisone for medial plica 1.5 weeks ago. Still painful. Should next step really be surgery? Not reading good things about the outcome.
If not willing to-: Accept the risks, you need do nothing, but your symptoms will not get better. Repeated steroid injections will cause damage to the joint surfaces. It's a great drug, but a double edged sword, beware! ...Read more
Synovial fold: Medial plica is a thickening or fold in the synovial lining of the knee. (plica synovialis mediopatellaris = medial plica: extends from the infrapatellar fat pad to the medial capsule of the knee, in the coronal plane.) this is a common finding which generally causes no problems. Very rarely it can cause a painful plica syndrome. ...Read more
Can medial plica syndrome cause instability or the knee to give way? Something like "pseudo giving way"?
Yes.: A painful plica can cause the quad (thigh) muscles to shut down, and give you a sense of the knee "giving out". ...Read more
What treatment is used for medial patellar partial retinaculum tear. How long must I wait until resuming normal activities?
Depends: The severity of your knee injury that caused the tear of the medial patellar retinaculum tear will determine the length of your recovery. Physical therapy can be very beneficial to aid your recovery and speed your return to "normal" activities. If you have not seen an orthopaedic surgeon yet, it would probably be worthwhile for you. ...Read more
Are the infrapatellar plica, suprapatellar plica and medial plica all the same thing/belong to same structure with folds at different places?
Location differs: All are folds of synovium (tissue lining the knee capsule), but differ in locations within that joint capsule. ...Read more
What is a prominent navicular tubercle at the medial aspect of the navicular bone? What is the treatment?
Navicular is a bone: In the midfoot, if it is prominent it sticks out a bit. Treatment may include smart shoe selection so there is no rubbing, padding the area, or shaving the prominence in the operating room. (The latter done by the doctor, not by you of course) ...Read more
Medial meniscal tear degenerative change with 10mm loose body inferior to the patella. Differential. Diffusely thickened Plica. What next?
Remove loose body re: Need more information but need to discuss with your physicians about removal of the loose body (also known as a joint mouse) if it is interfering with your activity. Sometimes some advise removal of the plica as well as repair of the tear. One needs to know you total medical status ...Read more
I had plica removal and a chondroplaty done about 11 month ago. And just recently had a MRI which showed a displacement of the medial menicus root.?
Different problem: Meniscus root tears are different to plica syndrome. It's unfortunate that you now have this tear which will likely require surgery if painful. If patient is less than 45 with no arthritis, a meniscus root repair should be done. Otherwise meniscal resection is recommended. Chondroplasty is shaving away of loose cartilage and implies some degree of arthritis. Second opinion by sports doc may help. ...Read more
Corn: Are you sure of the anatomy term? It may be a wart or callous which receive totally different treatments. See your podiatrist for an evaluation. ...Read more
Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?
I've a grade3 tear in posterior horn of medial meniscus, I'm taking phisiotherapy treatment. Will it heal?
Unlikely, medical...: ..tissue is avasccular & does not have great healing ability. PT can help with Ur acute ssx, but the tear is there just waiting 4 the proper movement of the knee 2 raise it's ugly head again. Avoid deep squats, cutting 2 the side of the tear. It can happen in bed @ nite, sleeping alone. Has an ortho Cn U yet, if not it would B a good idea. ...Read more
Mild degenerative signal posterior horn medial meniscus without tear. What exactly does this mean for treatment for a young athlete?
@ Ur age it means U-: -have injured it sometime along the way. MRI's may miss tears, with that in mind, U should C an orthopedic surgeon who is fellowship trained in sports medicine. Studies have shown that an exam can B more reliable than the MRI. Only by 1-2 %. Obviously U have symptoms so C ortho sports med. ...Read more
Prominence of medial patellar plica is diagnosis from MRI. Treated with NSAIDs so far, still painful for day to day activities. Ideas?
I met with an accident 20 days back. I got medial malleolus fractured and I am taking natural treatment here. How many days it take to heal?
Ankle fractures: Typically take around 6 weeks to heal if they are in the proper anatomical position for healing to take place. ...Read more
What causes a medial meniscus to be displaced? I had plica removed medial. Could that be the cause. This was seen on a MRI 4 months after surgery
The meniscus can: Be displaced if it is torn. A plica has nothing to do with the meniscus. A displaced meniscus or tear can be quite painful as it slips in and out of the knee joint with flexion and extension. You will also feel catching, locking and giving out. Your knee can also have an effusion or swelling. ...Read more
Treatment for medial femoral condyle ulceration with lateral patellar chondral ulceration with areas of full thickness chondral loss and fissuring?
See below: See on orthopedic specialist.Get a more detailed answer ›
After a scope...Grade 4 chondromalacia of patellofemoral, Grade 3 chondromalacia changes to medial compartment, 46, all conservative treatment no help?
Injection: It may not help but an injection with synvisc / orthovisc might buy you some time. ...Read more
Arthroscopic surgery: Either arthroscopic partial menicectomy or medical repair depending on type of tear ...Read more
I have an oblique tear of the posterior horn of the medial meniscus, what is the treatment for that?
It depends: Arthroscopic surgery to repair the torn meniscus if the tear is in a location that can be repaired or excision of the loose piece of the meniscus if the symptoms are that of pain, clicking or giving out of the knee. If you are not having any significant problems you can choose to leave it alone till symptoms recur. Good luck. ...Read more
I have grade 2 meniscus tear involving posterior medial horn? What treatment would you prescribed for grade 2 meniscal injury?
Mild degenerative signal posterior medial meniscus without tear. MRI Results What treatment would be best for this in a young adult?
Probably physical: Therapy and muscle strengthening. Get an opinion from orthopedic surgeon. But most importantly, avoid any further injury. ...Read more
6wks since arthroscopy removed large medial plica. Knee is catching under scar for split second and giving way-so painful. Why is this happening?
Scar tissue: After your surgery, more scar tissue can form. I would recommend aggressive massage, heat and/or ice, topical ointments, and less activity for a little while. The giving way is a reflex to sudden pain in your knee. If these don't help your catching, injections or physical therapy may help. ...Read more
I have grade 2 meniscus tear involving posterior medial horn? What treatment would you prescribed for grade 2 meniscal injury? And its being 3 month do
See Orthopedics: Your specialist the Orthopedic doctor can prescribe treatment options. They include surgery, no surgery, rehab, injection, meds to name a few. The cartilage as you know does not regrow. Over weeks the area will heal and pain will go away. You may have knee instability. Use a knee brace from pharmacy if that is useful. Take OTC ibuprofen if pain. As always see a doctor for complete care. ...Read more