| 論文種別 | 原著論文 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Suprapatellar plica classification and suprapatellar plica syndrome. |
| 掲載誌名 | 正式名：Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology 略 称：Asia Pac J Sports Med Arthrosc Rehabil Technol ISSNコード：22146873/22146873 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 17,pp.10-15 |
| 著者・共著者 | Akao Machiko, Ikemoto Tatsunori, Takata Takuya, Kitamoto Kazumasa, Deie Masataka |
| 発行年月 | 2019/07 |
| 概要 | Background:Plicae around the knee are anatomically normal structures that are remnants of embryonic membranes and are generally asymptomatic. Synovial plica syndrome is known to cause knee symptoms; however, its pathological contribution has been rarely reported. This study aimed to investigate the clinical significance of suprapatellar plicae as well as the morphological characteristics of suprapatellar plicae in patients with knee symptoms who required arthroscopic treatment.Methods:Of 223 arthroscopic knee surgeries, 125 patients undergoing primary arthroscopy for various diseases were eligible for inclusion in this study. All affected knees were preoperatively examined by two skilled physicians in a routine manner. Each patient was diagnosed with one primary disease entity based on clinical examinations and arthroscopic findings. At least two skilled orthopedic physicians watched the surgical videos together and defined the type of plicae based on the Dandy classification (Dandy DJ. 1990) as follows: (A) absent, (B) the plica was up to one-quarter of the width of the suprapatellar pouch, (C) the plica was between one-quarter and one-third of the width of the suprapatellar pouch, (D) the plica was between one-third and two-thirds of the width of the suprapatellar pouch, (E) the plica was more than two-thirds of the width of the suprapatellar pouch, (F) the plica had a complete membrane, (G) the plica was perforated, (H) arch, (I) pillar, or (J) lateral. Suprapatellar plica syndrome was considered when (1) the patient complained of anterior knee pain and had localized tenderness above the suprapatellar pouch, (2) magnetic resonance imaging revealed suprapatellar plica structures, and (3) other suspicious pathologies accounting for knee symptoms were excluded. We investigated primary disease type, type of plica, and the relationships between them.Results:The results revealed that meniscus injuries and anterior cruciate ligament injuries caused the majority of prima |
| DOI | 10.1016/j.asmart.2019.03.001 |
| PMID | 31044135 |