- snapping sensations
- knee pain on sitting
- pain with repetitive activity
- Physical exam
- tenderness in the medial parapatellar region
- painful, palpable medial parapatellar cord
- can be rolled and popped beneath the examiners finger
- provacative test
- hold the knee in full extension while examiner tries to flex against the patient’s resistance.
- the examiner again pushes the patella medially while palpating its medial border.
- pain produced with or without a click is considered a positive test.
- can detect plica but has low sensitivity
- activity restriction, NSAIDS, and physical therapy
- most cases can be treated nonoperatively
- physical therapy
- moist heat applications
- hamstring stretching
- resistive strengthening exercises are avoided in early rehabilitation phases
- arthroscopic resection of lesion
- only utilized in rare cases of plica band syndrome not responding to nonoperative treatment