Synovial Plica/Plica Syndrome
Plica is a band of tissue – goes from lateral femoral condyle around superior and medial aspects of patella down to fat pad anteriorly. Normally causes no problems occasionally irritation of medial facet of patellar.
Pain on anterior and medial side of knee.
Pain and tender to palpation 1cm medial to patella – may be able to palpate tight band
Pain after prolonged standing. Can have snapping sensation.
Activity modification; NSAID’s; stretching of patella retinaculum; strengthening vastus medialis; physical therapy