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Plica syndrome

Embryology

Plica are remnants of the partition of the embryological knee. Normally, there are thickenings within the synovial layer of the knee.

Symptoms

Intra-articular plicae are a cause of clicking symptoms when bending the knee

Diagnosis

They cause pain and swelling in the front of the knee. They can be felt as a band of tissue running across the inner side of the knee. They produce a clicking noise when the knee is bent

Treatment

Plica are rare. The orthopaedic surgeon will have to do a knee arthroscopy to confirm. The band is excised arthroscopically.other problems of the knee cap, cartilage will also have to be attended to.