Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey
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, causin...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214687325000032 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Svea Faber |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-fef79d2f35e4413e945b38fbf9fd8ec1 |
| institution | Kabale University |
| issn | 2214-6873 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology |
| spelling | doaj-art-fef79d2f35e4413e945b38fbf9fd8ec12025-02-02T05:27:35ZengElsevierAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology2214-68732025-04-01401822Treatment of a medial plica in the knee among German knee surgeons – The Plica SurveySvea Faber0Philipp W. Winkler1Ralf Henkelmann2Theresa Diermeier3Wolf Petersen4Maurice Balke5Sebastian Metzlaff6Sebastian Colcuc7Gerald Zimmermann8Philip P. Roessler9Thomas R. Niethammer10Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, Germany; Corresponding author.Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, AustriaDepartment of Orthopedics, Trauma and Plastic Surgery, Division of Arthroscopic and Special Joint Surgery/Sports Injuries, University of Leipzig, Liebigstrasse 20, 04103, Leipzig, GermanyDepartment of Trauma and Orthopaedic Surgery, BG Klinikum Unfallkrankenhaus Berlin, Berlin, GermanySportklinik Berlin und Klinik für Orthopädie und Unfallchirurgie, Martin-Luther-Krankenhaus, Berlin, GermanySportsclinic Cologne, Universität Witten/Herdecke, Köln, GermanyOrthopädie Charlottenburg, St. Joseph Krankenhaus Berlin, Berlin, GermanyDepartment of Arthroscopy, Sports Traumatology and Sports Medicine, BG Klinikum Duisburg, GermanyTheresienkrankenhaus Mannheim, Bassermannstr. 1, Abteilung Unfallchirurgie und Sporttraumatologie, GermanyGelenkzentrum Mittelrhein, Koblenz, GermanyDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital, LMU Munich, GermanyPurpose: 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.http://www.sciencedirect.com/science/article/pii/S2214687325000032Knee jointKnee painMediopatellar plicaPatella painPlica |
| spellingShingle | 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 Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology Knee joint Knee pain Mediopatellar plica Patella pain Plica |
| title | Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey |
| title_full | Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey |
| title_fullStr | Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey |
| title_full_unstemmed | Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey |
| title_short | Treatment of a medial plica in the knee among German knee surgeons – The Plica Survey |
| title_sort | treatment of a medial plica in the knee among german knee surgeons the plica survey |
| topic | Knee joint Knee pain Mediopatellar plica Patella pain Plica |
| url | http://www.sciencedirect.com/science/article/pii/S2214687325000032 |
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