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Medial Patellar Plica

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Description

Location of the synovial plica inside the knee joint.[1]
Sakakibara classification of medial patellar plicae[2]
Plica of the knee including medial, suprapatellar, infrapatellar and lateral

Name

  • Medial Patellar Plica
  • Mediopatellar plica
  • Medial parapatellar plica
  • Medial synovial shelf
  • Plica alaris elongata
  • Meniscus of the patella
  • Iion’s band
  • Aoki’s ledge
  • Medial Synovial Plica
  • Synovial Plica (Medial)
  • Plica Mediopatellaris
  • Medial Patellofemoral Plica

General

  • One of the major synovial plicae of the knee
  • Most commonly symptomatic, although not as anatomically present as others[3]
  • Can be continuous or separate from the suprapatellar plica
  • Highly variable anatomy in terms of transverse width, lateral extent

Sakakibara Classification

  • Based on size and morphology
  • Types A:consists of a cordlike elevation in the synovial wall, unlikely to be symptomatic
  • Type B: has a shelflike appearance but does not cover the anterior surface of the medial femoral condyle, unlikely to be symptomatic
  • Type C: medial patellar plica covers part of the articular surface of the femoral trochlea, more frequently associated with symptoms
  • Type D: fenestrated and more likely to be symptomatic, relatively rare

MRI Features

  • Best seen on T2 imaging with arthrography
  • Appears as a small band extending from the medial aspect of the joint

Clinical Significance


See Also


References

  1. 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.
  2. Image courtesy of radsource.us
  3. Vassiou, Katerina, et al. "Synovial plicae of the knee joint: the role of advanced MRI." Postgraduate medical journal 91.1071 (2015): 35-40.
Created by:
John Kiel on 20 February 2025 21:30:16
Authors:
Last edited:
25 April 2026 17:53:11
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