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Pathologic synovial plica of the knee

Results of conservative treatment

Department of Orthopaedics and Traumatology, University of Sào Paulo Medical School

Aldo Fazzi

Fazzi Amatuzzi Institute, Sào Paulo, Brazil

Marta H. Varella

Fazzi Amatuzzi Institute, Sào Paulo, Brazil

Observations of 136 cases of pathologic synovial plica of the knee were analyzed with regard to etiology, symptoms, and the results of conservative treatment. The results obtained with conservative treatment were good in 40% of cases, average in 20%, and poor in 40%. In our opinion, these results justify the treatment of this condition with physical therapy before proceed ing with surgical correction. The objective of physical therapy was to decrease the compressive forces in the anterior compartment of the knee by increasing the structural flexibility of the flexor and extensor muscles. This increase in flexibility was obtained by instituting stretching exercises for the hamstrings, gastrocnemius, and quadriceps.

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