What is plica in the elbow?

​ You or your child have just undergone surgical treatment for snapping elbow, also known as elbow plica syndrome, with Kemble. This condition is caused by a plica (a flap of unstable capsule or synovial fold) getting caught up in between the joint surfaces.

How do you treat elbow plica?

If full elbow motion has not been achieved by two weeks, therapy will be prescribed. In conclusion, painful snapping and popping on the outside of the elbow is often due to an inflamed Plica. Fortunately, Plicas can usually be well treated by excision using Elbow Arthroscopy.

How is plica treated?

It’s usually caused by stress or overuse. In most cases, plica syndrome can be treated successfully with medication and physical therapy, though some people may require surgery.

What is plica syndrome elbow?

Synovial plica syndrome is a painful elbow condition related to symptomatic synovial plica. Synovial plica syndrome is diagnosed by clinical examination (lateral elbow pain) commonly accompanied by local tenderness, pain at terminal extension and/or painful snapping.

Is there plica in the elbow?

The synovial plicae of the elbow are located at the radiohumeral joint and sur round the periphery of the radial dome. The radiohumeral synovial plica has four portions clearly differentiated by location: anterior, lateral, posterolateral, and lateral olecranon [6, 9, 10] (Figs. 1–5).

Does plica go away?

Knee plica problems usually get better without surgery. You’ll need to rest your knee for a while and put ice on it. Your doctor may suggest anti-inflammatory pain medicine, like ibuprofen or naproxen, and stretching your leg muscles, especially your quadriceps and hamstrings.

How long does it take for plica to heal?

If your treatment is nonsurgical, you should be able to return to normal activity within four to six weeks. You may work with a physical therapist during this time. Treatments involve stretching and strengthening exercises for the leg.

What is excision of plica?

The arthroscopic surgical management for pathological plica is to either excise or divide the plica. Excision may involve the use of punch, shaver, diathermy or scissor devices to take the plica back to a level where it no longer impinges. Division of the plica is performed by breaking its continuity.

What causes plica irritation?

Plica syndrome results when the synovial lining becomes irritated, typically the result of repetitive friction to the tissue, or in some cases a direct hit to the knee that traumatizes the tissue. As a result, this tissue will become thick and painful.

Do you need crutches after plica surgery?

You will use crutches for approximately one to two weeks, if no repairs are necessary in the knee. Physical therapy should begin two to three days after surgery and continue for approximately three to four months depending on severity. It is crucial to follow through on and maintain a proper therapy schedule.

What happens after plica surgery?

After surgery, we normally advise patients to take things easy and just potter around for the first week or so before then starting regular physio rehab treatments (a couple of times a week for the first few weeks). Most patients recover fully within about 6 weeks at most.

Can plica come back after surgery?

Of note the plica may grow back after excision but is usually not symptomatic any longer. A plica is an embryonic remnant commonly present in the population. Normally it consists of a thin, vascular, pliable band of tissue that originates from the synovial wall and crosses the synovial joint.

Can arthritis be cleaned out of a knee?

Arthroscopic Surgery

Your knee can be cleaned or flushed to remove loose bone or cartilage pieces that may be causing pain. Most people can get back to their usual activities a few days later. The recovery usually isn’t painful.