PMID- 31810387
OWN - NLM
STAT- MEDLINE
DCOM- 20220406
LR  - 20220716
IS  - 1947-6043 (Electronic)
IS  - 1947-6035 (Print)
IS  - 1947-6035 (Linking)
VI  - 13
IP  - 1_suppl
DP  - 2021 Dec
TI  - A 10-Year Follow-up on Arthroscopic Medial Plica Syndrome Treatments with Special 
      Reference to Related Cartilage Injuries.
PG  - 974S-983S
LID - 10.1177/1947603519892310 [doi]
AB  - OBJECTIVE: The aim of this study was to evaluate the factors that can affect 
      long-term results of arthroscopic resection of medial synovial plica of the knee. 
      DESIGN: A total of 52 knees in 50 consecutive patients with medial plica syndrome 
      (MPS) were enrolled to prospective study. Preoperatively the age, gender, level 
      of activity, symptoms' duration, Lysholm knee scoring scale (LKSS), Q angle, 
      range of motion (ROM), and quadriceps output torque (QOT) were recorded. The 
      plica was then arthroscopically excised while plica morphological type and 
      cartilage lesions (International Cartilage Repair Society [ICRS] classification) 
      were registered. The postoperative evaluation was done after 1 month, 3 months, 6 
      months, 3 years, and 10 years. The final assessment after 10 years covered LKSS, 
      ROM, QOT, and was enriched with functional tests: the single leg squat test 
      (SLS), the modified Ober test (MO), and the manual palpation of the vastus 
      medialis obliquus (VMO). RESULTS: The mean LKSS increased from 52 (15-85, SD 
      16.479) preoperative to 80 (48-100, SD 15.711) at final follow-up examination. A 
      significant negative correlation was found between LKSS and the patients' age. 
      Cartilage lesions higher than ICRS 1 significantly decreased the final LKSS. 
      Results were significantly better in the subgroups with normal outcome of 
      functional tests. CONCLUSIONS: Clinical results of arthroscopic plica resection 
      are better in patients without coexisting cartilage lesions. Poor neuromuscular 
      control may contribute to abnormal patella tracking, leading to both medial plica 
      irritation and further cartilage deterioration.
FAU - Paczesny, Lukasz
AU  - Paczesny L
AUID- ORCID: 0000-0002-1706-8090
AD  - Orvit Clinic, Citomed Healthcare Center, Torun, Poland.
FAU - Zabrzynski, Jan
AU  - Zabrzynski J
AD  - Orvit Clinic, Citomed Healthcare Center, Torun, Poland.
AD  - Department of Orthopedic Surgery, Multidisciplinary Hospital, Inowroclaw, Poland.
FAU - Kentzer, Radoslaw
AU  - Kentzer R
AD  - Orvit Clinic, Citomed Healthcare Center, Torun, Poland.
FAU - Gryckiewicz, Szymon
AU  - Gryckiewicz S
AD  - Orvit Clinic, Citomed Healthcare Center, Torun, Poland.
FAU - Lewandowski, Bartosz
AU  - Lewandowski B
AD  - Infi Consulting, Torun, Poland.
FAU - Szwedowski, Dawid
AU  - Szwedowski D
AD  - Orthopaedic Arthroscopic Surgery International (OASI) Bioresearch Foundation, 
      Milan, Italy.
AD  - Department of Orthopaedics and Trauma Surgery, Provincial Polyclinical Hospital, 
      Torun, Poland.
FAU - Kruczynski, Jacek
AU  - Kruczynski J
AD  - Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, 
      University of Medical Sciences, Poznan, Poland.
LA  - eng
PT  - Journal Article
DEP - 20191206
PL  - United States
TA  - Cartilage
JT  - Cartilage
JID - 101518378
SB  - IM
MH  - *Arthroscopy/methods
MH  - Follow-Up Studies
MH  - Humans
MH  - Patella
MH  - Prospective Studies
MH  - *Synovitis/pathology
PMC - PMC8808933
OTO - NOTNLM
OT  - arthroscopy
OT  - joint involved
OT  - knee
OT  - medial plica
OT  - procedures
OT  - synovial shelf
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article.
EDAT- 2019/12/08 06:00
MHDA- 2022/04/07 06:00
PMCR- 2022/06/01
CRDT- 2019/12/08 06:00
PHST- 2019/12/08 06:00 [pubmed]
PHST- 2022/04/07 06:00 [medline]
PHST- 2019/12/08 06:00 [entrez]
PHST- 2022/06/01 00:00 [pmc-release]
AID - 10.1177_1947603519892310 [pii]
AID - 10.1177/1947603519892310 [doi]
PST - ppublish
SO  - Cartilage. 2021 Dec;13(1_suppl):974S-983S. doi: 10.1177/1947603519892310. Epub 
      2019 Dec 6.