Secondary dysfunction, like meniscal damage, may go undetected or misidentified as some other pathology. Other possible factors that can lead to a fibrotic plica include a direct blow or trauma to the tissue, excessive twisting motions applied to the knee, or intraarticular bleeding or effusion secondary to another injury. Depending on its location it can become bowstrung across a bony prominence in the knee. Repetitive motions of the knee cause friction on the plica and it becomes fibrotic and far less flexible. The most common reason for plica irritation is chronic overuse. The plica becomes swollen and fibrotic for several different reasons. While the plica will have existed for the person’s entire life, it may become problematic only later as a result of overuse. When it develops in this region, it is called medial plica syndrome and may cause pain and discomfort during various movements and is often mistaken for other knee pathologies. The medial side of the knee is one of the most common locations for a plica to develop. However in some people these bands of embryonic tissue persist into adulthood and become sleeves or folds of tissue called synovial folds or plica. These bands of tissue gradually shrink as the knee joint fully forms and is eventually surrounded by a synovial capsule. Early in fetal development bands of tissue separate the knee into different compartments. In this post we’ll take a look at the synovial plica, a cause of knee pain that can easily mimic other common knee conditions.ĭuring embryologic development tissues gradually change state as they develop into their fully formed structures. In some cases an undiscovered problem may exist. However, sometimes various conditions exist that seem like a common pathology, but then don’t respond to the treatment. Massage is great for many soft-tissue pathologies. By Whitney Lowe on Jin Clinical & Orthopedic Massage, Massage Education, Orthopedic Massage
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