What is Plica Syndrome?
Plica syndrome is a relatively common cause of pain and knee instability. It occurs when articular tissue folds are called irritated, inflamed and swollen. A person may develop Plica syndrome after a direct injury or as a result of chronic joint overuse. Most cases are mild and temporary and people can return to normal activity after about four weeks of rest. However, if the tissue is seriously damaged, surgery and lengthy rehabilitation program may be necessary to fully recover.
Plica tissue plays a major role in the development of knee structures, while the fetus is in the womb. Most Plica tissue deteriorates to create space for tendons, cartilage and bones in the second trimester, and the lung remains form four small folds in the knee. The fold closest to the inside of the knee joint is usually the one that is involved in the Plica syndrome. Problems occur when a person puts excessive pressure on the knee, either out of excessive running and bending or from a sudden reversal or impact. Athletes,Very active people and victims of traffic accidents are the most likely Plica syndrome.
The symptoms of Plica syndrome depend on the severity and nature of the injury. Irritated tissue can cause the inner part of the joint to become tender, sore and stiff. When bending the knee, it is possible to hear a rupture or clicking on the noise. If there has been much damage, it may be very painful to carry the weight on the affected leg. Occasionally redness and swelling are accompanied by other symptoms.
It is important to see a doctor whenever painful symptoms develop to obtain an accurate diagnosis. The physician can perform a physical test to determine whether the pain is caused by inflamed tissue plk or more serious problem, such as bone fracture or torn tendon. Magnetic resonance scanning is often performed to confirm soft tissitis.
Most patients with relatively small symptoms are instructed to get offThey were acting and ice for several weeks. Over-the-Countter painkillers and anti-inflammatory drugs can also help reduce symptoms. If pain is severe at the time of examination, the doctor may decide to injections corticosteroid solution directly into the joint. It is important to give the knee enough time to recover before returning to activity to avoid further injuries.
Arthroscopic surgery is only necessary if a person with conservative treatment does not improve. An experienced orthopedic surgeon can remove or strengthen the damaged tissue from the joint. Restoration from surgery can take up to six months, during this time one needs enough rest and controlled physical therapy. Plica surgery is usually very effective and most patients can eventually return to a normal activity level.