Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, intermittent medial left knee pain exacerbated by repetitive flexion and extension activities. Reports localized snapping or clicking sensation along the medial femoral condyle. No history of acute trauma or locking. Pain is aggravated by prolonged sitting (theater sign) and stair climbing.
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 or click as the medial plica traverses the femoral condyle. No joint line tenderness, no effusion, and stable ligaments (LCL/MCL/ACL/PCL).
Treatment Protocol
Conservative management initiated: Activity modification to avoid repetitive flexion, NSAIDs for inflammation, and physical therapy focused on quadriceps strengthening and hamstring flexibility. Corticosteroid injection to the medial plica space considered if symptoms persist. Surgical excision (arthroscopic plica resection) discussed as a secondary option.