Arthroscopic treatment of patients diagnosed with synovial knee plica

Authors

  • Yadier Castañeda Guerra Hospital universitario Carlos Manuel de Céspedes. Bayamo.
  • Julio Antonio Vázquez Milanés Hospital universitario Carlos Manuel de Céspedes. Bayamo.
  • Martha Rosa Rosabal Sadin Hospital universitario Carlos Manuel de Céspedes. Bayamo.

Keywords:

Synovial plica, Arthroscopy, Knee.

Abstract

Introduction: PS can occur in isolation or associated with other diseases, but its responsibility as a cause of joint pain is justified when other intra-articular alterations that explain the symptoms are not detected or when it is associated with other diseases and the PS vascularized and irritated. Positive diagnosis is difficult both from a clinical and imaging point of view, hence arthroscopy is the gold standard, to confirm its presence and carry out treatment.

Objective: to evaluate the effectiveness of arthroscopic treatment in the perception of health-related quality of life in 72 patients with synovial plica.

Method: a prospective, longitudinal, quasi-experimental, before-after, therapeutic intervention study was carried out in the Orthopedics and Traumatology department of the Carlos Manuel de Céspedes Hospital in Bayamo, in the period from January 2017 to December 2018, As it was a quasi-experimental study, an intragroup analysis was carried out, comparing the pre and post-treatment data.

Results: the female sex prevailed, in the ages between 30 to 44 years, suprapatellar plicae were frequent. The most frequent clinical manifestation was pain, followed by crepitus. The visual analog scale showed improvement with a statistically significant decrease.

 Conclusions: the effectiveness of arthroscopy was demonstrated. The most frequent complication was postoperative hemarthrosis.

Downloads

Download data is not yet available.

References

1. Rooney A, Wahba AJ, Smith TO, Donell ST. The surgical treatment of anterior knee pain due to infrapatellar fat pad pathology: a systematic review. OrthopTraumatol Surg Res 2015; 101(4): 469-75.

2. Panken AM, Heymans MW, Oort L, Verhagen AP. Clinical prognostic factors for patients with anterior knee pain in physical therapy: a systematic review. Int J SportsPhysTher 2015; 10(7): 929-45.

3. Sanchis Alfonso V, Montesinos Berry E, Serrano A, Martínez Sanjuan V. Evaluation of the patients with anterior knee pain and patellar instability. En: Sanchis Alfonso V, editor. Atlas of the patellofemoral joint. London: Springer Verlag; 2013. p. 47-62.

4. Vigorita VJ. Orthopaedic pathology. 3 rd ed. Philadelphia: Wolters Kluwer; 2016.

5. Selhorst M, Rice W, Degenhart T, Jackowski M, Tatman M. Evaluation of a treatment algorith for patients with patellofemoral pain síndrome: a pilot study. Int J Sports PhysTher [Internet]. 2015 [citado 10/8/2019]; 10(2). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4387725/pdf/ijspt-04-178.pdf

6. Valenza MC, Torres-Sánchez I, Cabrera-Martos I, Valenza-Demet G, Cano-Cappellacci M. Acute effects of contract-relax stretching vs. TENS in young subjects with anterior knee pain: a randomized controlled trial. J Strength Cond Res 2016; 30(8): 2271-8.

7. Calisté Manzano O, Morasén Cuevas R, Fresneda Laborí JR, Matamoros Rodríguez A, Jorges Fonseca C. Características clinicoepidemiológicas y endoscópicas de la plica sinovial en pacientes operados mediante artroscopia. MEDISAN 2011; 15(8): 1049-1054.

8. Ferrereira Mendes Franco BA, Sadigursky D, De Cequeira Daltro G. Patellar position in patients with patellofemoral syndrome as characterized by anatomo-radiographic study. Rev Bras Ortop [Internet]. 2018 [citado 10/8/2019]; 53(4). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052178/pdf/main.pdf

9. Vora M, Curry E, Chipman A, Matzkin E, Li X. Patellofemoral pain syndrome in female athletes: a review of diagnoses, etiology and treatment options. Orthop Rev (Pavia) [Internet]. 2018 [citado 15/8/2018]; 9(4). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5850065/pdf/or-9-4-7281.pdf

10. Gutiérrez López CE. Correlación clínico–artroscópica de plica sinovial, pacientes sometidos a artroscopia diagnóstica – terapéutica de rodilla. [Tesis]. Guatemala: Universidad De San Carlos De Guatemala; 2015. [citado 5/8/2019]. Disponible en: http://biblioteca.usac.edu.gt/tesis/05/05_9761.pdf

11. Álvarez-López A, Soto-Carrasco SR, García-Lorenzo YC. Comportamiento de pacientes con plica sinovial de la rodilla. AMC 2019; 23(3): 329-338.

12. Kan H, Arai Y, Nakagawa S, Inoue H, Hara K, Minami G, et al. Characteristics of medial plica syndrome complicated with cartilage damage. Int Orthop 2015; 39(12): 2489-94.

13. Jones BQ, Covey CJ, Sineath MH. Nonsurgical management of knee pain in adults. Am Fam Physician 2015; 92(10): 875-83.

14. Rothermich MA, Glaviano NR, Li J, Hart JM. Patellofemoral pain: epidemiology, pathophysiology, and treatment options. Clin Sports Med 2015; 34(2): 313-27.

Downloads

Published

2020-07-16

How to Cite

1.
Castañeda Guerra Y, Vázquez Milanés JA, Rosabal Sadin MR. Arthroscopic treatment of patients diagnosed with synovial knee plica. RM [Internet]. 2020 Jul. 16 [cited 2025 Jun. 3];24(4). Available from: https://revmultimed.sld.cu/index.php/mtm/article/view/1990

Issue

Vol. 24 No. 4 (2020)

Section

ARTÍCULOS ORIGINALES

License

Avisos de derechos de autor propuestos por Creative Commons

1. Política propuesta para revistas que ofrecen acceso abierto

Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
  1. Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
  2. Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
  3. Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).