Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, intermittent left knee pain localized to the medial aspect. Symptoms are exacerbated by repetitive flexion/extension activities, prolonged sitting, and stair climbing. Reports occasional snapping, popping, or catching sensation along the medial femoral condyle. No history of acute trauma or locking.
Clinical Examination Findings
Left knee examination reveals tenderness to palpation over the medial femoral condyle. Plica stutter test is positive. Passive flexion of the knee elicits a palpable/audible snap at approximately 60 degrees. No joint line tenderness, no effusion, and ligamentous stability (ACL/PCL/MCL/LCL) is intact. 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 a structured physical therapy program focusing on quadriceps strengthening and hamstring flexibility. Corticosteroid injection into the medial plica region may be considered if symptoms persist. Surgical arthroscopic excision reserved for refractory cases.