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Hughstons Plica Test
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Other Names
- Hughston's Plica Test
- Mediopatellar Plica Test (MPP)
Purpose
- Evaluate the Plicae as a cause of knee pain
Description
Demonstration of Hughston's Plica Syndrome Test[1]
- The patient is supine with knee extended[2]
- Examiner stands on affected side
- One hand around the heel, the other over the medial femoral condyle
- Examiner flexes and extends patients knee while applying internal rotation, medial force on patella
- Positive test
- Pain and/or popping sensation
- Commonly occurs in 30-60° of extension
Pathology
Evidence
- Compared to arthroscopy as diagnostic gold standard[3]
- Sensitivity: 89.5%
- Specificity: 88.7%
- PPD: 78.7%
- NPD: 94.4%
- Diagnostic Accuracy 89%
See Also
References
- ↑ Lee, Paul Yuh Feng, et al. "Synovial plica syndrome of the knee: a commonly overlooked cause of anterior knee pain." The Surgery Journal 3.01 (2017): e9-e16.
- ↑ Magee DJ. Orthopedic Physical Assessment: 5th Edition. St. Louis, MO: Saunders Elsevier;2008.
- ↑ Kim, Sung-Jae, Doo-Hyung Lee, and Tae-Eun Kim. "The relationship between the MPP test and arthroscopically found medial patellar plica pathology." Arthroscopy: The Journal of Arthroscopic & Related Surgery 23.12 (2007): 1303-1308.
Created by:
John Kiel on 5 March 2021 14:25:05
Authors:
Last edited:
12 April 2023 16:58:31
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