Knee pain is about the most common problems patients transfer to with to a rheumatologists cubicle. There are multiple options for knee pain ranging less than Arthritis to bursitis to tendonitis etc ..
One type of knee pain which is often rarely mentioned is the pain sensation from an inflamed inside plica. This is in order to an Arthritis condition.
In order to understand this type of knee pain, it's important to figure out basic knee anatomy.
The knee will be joint consisting of some bones, the femur (upper leg bone), tibia (the larger of two lower leg bones), the fibula (the smaller of the two lower leg bones), and the patella (the knee cap).
All the articulating (interacting) surfaces of your knee bones are covered with a thin layer of the hyaline cartilage, a tough types of gristle, that helps with cushioning and cushioning.
This entire system is enclosed inside a joint capsule. The product is lined with synovium, a kind of tissue that provides nourishment and lubrication exactly where the joint.
On occasion, the synovium can form a fold of debris. This fold can occur within knee cap, below your brand new knee cap, and is amongst knee cap and femur, along the inside among the knee.
When the fold unfolds along the inside among the knee between the patella and also femur, it can issues. This is called medial plica syndrome.
Pain around the patella is the same old symptom. A person could also be note snapping, clicking, securing, and even a believe that of instability. This latter symptom is pretty rare.
Inflammation of your brand new knee capsule, as can happen with Arthritis, or trauma can aggravate this. In addition, bending who they straightening the knee (eg. Stair climbing) may possibly also aggravate the pain within a medial plica.
The diagnosis really needs to be suspected clinically by the gender predictor. On examination, the patient may booklet pain located over the medial (inside) among the joint. A sensation of snapping seem to be felt when the throat is flexed and straightened.
The diagnosis can be confirmed by magnetic hub bub imaging (MRI) scanning.
Usually, any individual will undergo arthroscopy (insertion of telescope inside the knee joint). At the lifetime of arthroscopy, the medial plica will resemble thickened and inflamed. The Treatment is every bit rendered arthroscopically.
By displaying to a motorized trimmer, the arthroscopist can competently trim the inflamed plica so it no longer becomes stranded. This procedure is typically curative. We have seen to several symptomatic medial plica cases that have been essentially cured by throughout the arthroscopic approach..