Hughstons Plica Test
- Hughston's Plica Test
- Mediopatellar Plica Test (MPP)
- Evaluate the Plicae as a cause of knee pain
- The patient is supine with knee extended
- 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
- Compared to arthroscopy as diagnostic gold standard
- Sensitivity: 89.5%
- Specificity: 88.7%
- PPD: 78.7%
- NPD: 94.4%
- Diagnostic Accuracy 89%
- 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.