Archivo Médico de Camagüey (Jun 2019)
Behavior of patients with knee plica synovialis
Abstract
Background: knee plica synovialis is a common cause of anterior knee pain; it could show up isolated or associated to other intra-articular conditions. Nowadays, the surgical arthroscopic treatment is the most used way. Objective: the objective of this study was to evaluate the arthroscopic treatment in patients with plica synovialis of the knee. Methods: an analytic and observational study, with a level of evidence 3, recommendation C was performed in 181 patients with the clinical diagnosis of plica synovialis of the knee according to clinical, imaging and arthroscopic criteria in the provincial teaching hospital Manuel Ascunce Domenech in Camaguey city from January 1st, 2012 to January 31th, 2018. The population of the research was the amount of patients who had had the confirmation of having pathologycal plica synovialis through the arthroscopic way, 18 year-old patients and over and also limited or non-response to conservative ambulatory treatment for more than six weeks. Results: the average age was 45,5 years, female-male ratio was 1,9 to 1. The plica synovialis mediopatellaris prevailed. Cartilage lesions levels 3 and 4 were the most found as well as mono-compartiment affecting patellofemoral joint. Debridement and meniscectomy were the most common used arthroscopic procedures after plica section. Clinical results were good at six months. Conclusions: the arthroscopic treatment of plica synovialis is effective, especially in patients with absence of other intrarticular conditions. DeCS: KNEE JOINT/surgery; SYNOVIAL MEMBRANE/injuries; ARTHROSCOPY; MENISCECTOMY; DEBRIDEMENT.
