Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, intermittent medial-sided right knee pain exacerbated by repetitive flexion and extension activities. Reports localized clicking, snapping, or popping sensations along the medial femoral condyle. Denies history of acute trauma, locking, or instability. Symptoms are aggravated by prolonged sitting (theater sign) and stair climbing.
Clinical Examination Findings
Right knee examination reveals localized tenderness to palpation over the medial femoral condyle. Medial plica snap test is positive with reproducible pain during passive flexion and extension. No significant joint effusion, ligamentous laxity (LCL/MCL/ACL/PCL stable), or meniscal signs (McMurray negative). Patellar tracking is within normal limits.
Treatment Protocol
Conservative management initiated: Activity modification to avoid repetitive flexion, NSAIDs for inflammation, and physical therapy focusing on quadriceps strengthening and hamstring flexibility. Corticosteroid injection into the medial plica region may be considered if symptoms persist. Surgical consultation for arthroscopic plica excision reserved for refractory cases.