Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, intermittent medial-sided left knee pain, exacerbated by repetitive flexion/extension activities. Reports localized snapping, popping, or catching sensation along the medial femoral condyle. Denies locking, instability, or history of acute trauma. Pain is aggravated by prolonged sitting (theater sign) and stair climbing.
Clinical Examination Findings
Left knee examination reveals localized tenderness to palpation over the medial femoral condyle. Plica stutter test is positive. Passive flexion of the knee reproduces a palpable snap or click at approximately 60 degrees. No significant joint effusion, ligamentous laxity, or meniscal signs (McMurray negative). Range of motion is full but painful at end-range flexion.
Treatment Protocol
Conservative management initiated: Activity modification to avoid repetitive flexion, NSAIDs for inflammation, and targeted physical therapy focusing on quadriceps strengthening and hamstring flexibility. Corticosteroid injection into the medial plica region may be considered if symptoms persist. Surgical arthroscopic excision of the plica is reserved for refractory cases.