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首页> 美国卫生研究院文献>Acta Bio Medica : Atenei Parmensis >Management of suprapatellar synovial plica a common cause of anterior knee pain: a clinical review
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Management of suprapatellar synovial plica a common cause of anterior knee pain: a clinical review

机译：膝上滑膜皱ica的治疗前膝关节疼痛的常见原因：临床回顾

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Suprapatellar synovial plica is caused by a congenital thickening of the synovial membrane and is generally asymptomatic. In the literature, suprapatellar plicae are described as one of the causes of anterior knee pain however, their real role in determining symptoms is controversial. The aim of the current paper is to describe the anatomy, classifications, pathophysiology, symptoms and management of suprapatellar plica syndrome, as well as the differential diagnosis from other causes of anterior knee pain. Via a search within the MEDLINE/PubMed database, a current review was conducted, and the results summarized. Due to idiopathic, traumatic or inflammatory conditions, plicae can become pathological, causing anterior knee pain with possible knee clicking, swelling, giving way and locking after prolonged flexion of the knee. The diagnosis should be formulated based on an accurate medical history and clinical examination, followed by an appropriate imaging study. However, arthroscopy remains the “golden standard” for detecting all synovial plica. In patients with anterior knee pain, where doubt is present in the imaging investigation for intraarticular or periarticular lesions, pathological suprapatellar synovial plica must be suspected. The treatment should initially be conservative, but in cases where symptoms persist, patients should undergo arthroscopy to confirm diagnosis and to determine a suitable treatment. In the presence of pathological plica associated with cartilage damage of the femoral condyle or patella at the time of diagnostic arthroscopy, plicae excision leads to favourable results in a high number of cases. ( )
机译：pat上滑膜皱ica是由先天性滑膜增厚引起的，通常无症状。在文献中，sup上pl被描述为前膝关节疼痛的原因之一，但是，其在确定症状中的实际作用是有争议的。本文的目的是描述膝上pl肌综合征的解剖结构，分类，病理生理，症状和治疗方法，以及与其他前膝痛原因的鉴别诊断。通过在MEDLINE / PubMed数据库中进行搜索，进行了当前审查，并对结果进行了总结。由于特发性，创伤性或炎症性疾病，pl肌可能会变得病理性，导致膝前部疼痛，并可能在膝关节长时间屈曲后出现膝部卡嗒，肿胀，屈服和锁定。诊断应根据准确的病史和临​​床检查制定，然后进行适当的影像学检查。然而，关节镜检查仍然是检测所有滑膜皱ica的“黄金标准”。对于膝前疼痛患者，在影像学检查中是否存在关节内或关节周围病变的怀疑，必须怀疑病理性rap上滑膜皱pl。最初的治疗应该是保守的，但是在症状持续的情况下，患者应进行关节镜检查以确诊并确定合适的治疗方法。在诊断性关节镜检查时，如果存在病理性pl肌与股骨dy或骨软骨损伤相关，则在很多情况下，ica肌切除会产生良好的效果。 （）

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