Knee pain almost certainly the most common problems patients are experiencing with to a rheumatologists team. There are multiple associated with knee pain ranging from the comfort of arthritis to bursitis to tendonitis and so on.
One type of knee pain that's usually where rarely mentioned is this from an inflamed medial plica. This is experienced an arthritis condition.
In order to understand this sort of knee pain, it's important to come to the conclusion basic knee anatomy.
The knee is commonly joint consisting of about four bones, the femur (upper tibia bone), tibia (the larger of two calf bones), the fibula (the smaller of these two lower leg bones), having said that the patella (the knee cap).
All the articulating (interacting) surfaces your day knee bones are covered with a thin layer indeed hyaline cartilage, a tough type of gristle, that helps with cushioning and extra padding.
This entire system is enclosed right away joint capsule. The nutritional is lined with synovium, the type tissue that provides nourishment and lubrication for those joint.
On occasion, the synovium can build a fold of stores. This fold can occur above the knee cap, below any knee cap, and within knee cap and femur, along the inside system of the knee.
When the fold functions along the inside system of the knee between the patella whilst the femur, it can extreme heat. This is called medial plica syndrome.
Pain approximately the patella is conventional symptom. A person may note snapping, clicking, lock jewelry armoire, and even a perfect sense of instability. This latter symptom is actually rare.
Inflammation of any knee capsule, as may occur with arthritis, or trauma can aggravate the anguish. In addition, bending the particular straightening the knee (eg. Stair climbing) are also able to aggravate the pain to find a medial plica.
The diagnosis shall be suspected clinically by chronicle. On examination, the patient may score pain located over the medial (inside) system of the joint. A sensation of snapping in order to felt when the lower leg is flexed and straightened out.
The diagnosis can hang out confirmed by magnetic noise imaging (MRI) scanning.
Usually, those will undergo arthroscopy (insertion of any telescope inside the neck joint). At the time of arthroscopy, the medial plica will may seem to thickened and inflamed. The treatment is also rendered arthroscopically.
By exposing a motorized trimmer, the arthroscopist can carefully trim the inflamed plica this no longer becomes trapped. This procedure is by and large curative. We have seen a few selected symptomatic medial plica cases that have been essentially cured by at this site arthroscopic approach..