Medial Plica Test
(Redirected from Medial Patellar Plica Test)
Other Names
- Hughston's Plica Test
- Mediopatellar Plica Test (MPP)
- Hughston’s Plica Test
- Hughston Test
- Medial Synovial Plica Test
- Plica Compression Test
- Medial Knee Plica Test
Purpose
- Evaluate the Synovial Plicae of the knee as a cause of knee pain
Description
- The patient is supine with knee extended[4]
- 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
Alternative Description
- The patient is in a supine position
- Apply compressive force over inferomedial patella
- Passively extend & flex the knee
- Positive test
- Pain between 30-45° flexion
- Often associated with clicking, popping, catching, locking, or snapping
Pathology
Evidence
- Compared to arthroscopy as diagnostic gold standard[5]
- 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.
- ↑ Image courtesy of uptodate.com, "Medial patellar plica test"
- ↑ Paczesny, Lukasz, et al. "A 10-year follow-up on arthroscopic medial plica syndrome treatments with special reference to related cartilage injuries." Cartilage 13.1_suppl (2021): 974S-983S.
- ↑ 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
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Last edited:
19 December 2025 16:23:13
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