The incidence of infrapatellar plicae in the elderly Welsh population

• Autorzy: Apostolopoulos A.P. , McConnell B. , Manta A. , Zafiropoulos G.
• Języki publikacji: EN

Abstrakty

EN

There are several studies reporting the incidence of suprapatellar, medial, and lateral plicae, but there is very limited information regarding the incidence of the infrapatellar plica. The purpose of our study was to record the incidence of infrapatellar plicae in the elderly Welsh population suffering from knee osteoarthritis. A prospective study was performed and 90 knees with severe osteoarthritis of the knee joint (Kellgren-Lawrence type III and IV) were investigated during total knee arthroplasty surgery. Documentation was performed at every total knee replacement surgery for the length of the study. Knee replacement was performed by one senior surgeon. Infrapatellar plica was investigated by a medial parapatellar approach and was classified into five types according to Kim’s classification. The overall incidence of infrapatellar plicae was 37.7%. The most common type of plicae was the separate type (23.3%). There was no significant difference found between male and female patients. The fenestra type was the least common (2.22%). The incidence of infrapatellar plicae in the elderly Welsh population suffering from knee osteoarthritis was significantly lower when compared to a study that recorded the incidence of infrapatellar plica in young patients. Possibly, the degenerative changes of the knee joint can cause the resorption of the infrapatellar plica, thus decreasing its incidence in the elderly population. (Folia Morphol 2012; 71, 3: 194–197)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2012
• Tom: 71
• Numer: 3
• Opis fizyczny: p.194-197,ref.

Twórcy

autor

Apostolopoulos A.P.

• Orthopaedic Department, Cwn Taf Health, Prince Charles Hospital, Merthyr Tydfil, CF47 9DT, United Kingdom

autor

McConnell B.

• Orthopaedic Department, Cwn Taf Health, Prince Charles Hospital, Merthyr Tydfil, CF47 9DT, United Kingdom

autor

Manta A.

• Orthopaedic Department, Cwn Taf Health, Prince Charles Hospital, Merthyr Tydfil, CF47 9DT, United Kingdom

autor

Zafiropoulos G.

• Orthopaedic Department, Cwn Taf Health, Prince Charles Hospital, Merthyr Tydfil, CF47 9DT, United Kingdom
• University of Glamorgan, United Kingdom

Bibliografia

• 1. Boyd CR, Eakin C, Matheson GO (2005) Infrapatellar plica as a cause of anterior knee pain. Clin J Sport Med, 15: 98–103.
• 2. Brody GA, Pavlov H, Warren RF, Ghelman B (1983) Plica synovialis infrapatellaris: arthrographic sign of anterior cruciate ligament disruption. AJR, 170: 1551–1555.
• 3. Dalinka M, Garofola J (1976) The infrapatellar synovial fold: a cause for confusion in the evaluation of the anterior cruciate ligament. AJR, 127: 586–589.
• 4. Dandy DJ (1990) Anatomy of the medial suprapatellar plica and the medial synovial shelf. Arthroscopy, 6: 79–85.
• 5. Demirag B, Ozturk C, Karakayali M (2006) Symptomatic infrapatellar plica. Knee Surg Sports Trauma Arthrosc, 14: 156–160.
• 6. Dorchak JD, Barrack RL, Kneisl JS, Alexander AH (1991) Arthroscopic treatment of symptomatic synovial plica of the knee. Long term follow up. Am J Sports Med, 19: 503–507.
• 7. Fullerton A (1916) The surgical anatomy of the synovial membrane of the knee joint. Br J Surg, 4: 191–200.
• 8. Jouanin T, Dupont JY, Halimi P, Lassau JP (1982) The synovial folds of the knee joint: anatomical study. Anat Clin, 4: 47–53.
• 9. Kellgren JH, Lawrence JS (1963) Atlas of standard radiographs of arthritis. Oxford Blackwell Scientific.
• 10. Kim SJ, Choe WS (1997) Arthroscopic findings of the synovial plicae of the knee. Arthroscopy, 13: 33–41.
• 11. Kim SJ, Kim JY, Lee JW (2002) Pathologic infrapatellar plica. Arthroscopy, 18: E25.
• 12. Kim SJ, Min BH, Kim HK (1996) Arthroscopic anatomy of the infrapatellar plica. Arthroscopy, 12: 561–564.
• 13. Kosarek F, Helms C (1999) The MR appearance of the infrapatellar plica. AJR, 172: 481–484.
• 14. Lino S (1939) Normal arthroscopic findings in the knee joint of adult cadavers. J Jpm Orthop Assoc, 14: 467–523.
• 15. Mayeda T (1918) Ueber das Strangartige Gebilde in der Knigel-Enkhoele. (Chordi Cavi Articularis Genu) Mitt Med Fak Kaisert Univ Tokio, 21: 507–553.
• 16. Nakayama A, Sugita T, Aizawa T, Takahashi A, Honma T (2011) Incidence of medial plica in 3.889 knees in the Japanese population. Arthroscopy, 27: 1523–1527.
• 17. Ogata S, Uhtoff H (1990) The development of synovial plicae in human knee joints: An embryologic study. Arthroscopy, 6: 315–321.
• 18. Ozcan M, Copuroglou C, Ciftdemir M, Turan F, Calpur OU (2011) Does an abnormal infrapatellar plica of the knee increase the risk of chondral damage in the knee. Knee Sur Sports Traum Arthrosc, 19: 218–221.
• 19. Patel D (1978) Arthroscopy of the plicae synovial folds and their significance. Am J Sports Med, 6: 217–225.
• 20. Reider B, Marshall JL, Warren RF (1981) Persistent vertical septum in the human knee joint. JBJS Am, 63: 1185–1187.
• 21. Sakakibara J. (1976) Arthroscopic study on lino’s band-plica synovialis mediopatelaris. J Jpn Ortho Assoc, 50: 513–522.