2020
DOI: 10.1302/2058-5241.5.200027
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Synovial plica of the elbow and its clinical relevance

Abstract: A synovial plica (fold) is normal anatomic finding, and occurs in 86–100% of cases; however, symptomatic plica is much less common (7.2–8.7% of all elbow arthroscopies). 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. Synovial plica syndrome may be mimicked by other elbow conditions, commonly t… Show more

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Cited by 14 publications
(19 citation statements)
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“…The highest density of elastic fibers in the AJC implicates its required elasticity in daily life activities such as flexion, extension and pronosupination to position the hand in space (Morrey et al, 1981; Sardelli et al, 2011). Moreover, it prevents entrapment of capsule tissue (Kielty et al, 2002), such as in painful plica syndrome (Lubiatowski et al, 2020). The low amount of elastic fibers in the AUCL reflects its primary stabilizing role in valgus stress.…”
Section: Discussionmentioning
confidence: 99%
“…The highest density of elastic fibers in the AJC implicates its required elasticity in daily life activities such as flexion, extension and pronosupination to position the hand in space (Morrey et al, 1981; Sardelli et al, 2011). Moreover, it prevents entrapment of capsule tissue (Kielty et al, 2002), such as in painful plica syndrome (Lubiatowski et al, 2020). The low amount of elastic fibers in the AUCL reflects its primary stabilizing role in valgus stress.…”
Section: Discussionmentioning
confidence: 99%
“…Various intra-articular soft-tissue abnormalities of the radiocapitellar joint have been reported in clinical and cadaveric studies [ 4 , 5 , 6 ]. These abnormalities include synovial plicas, folds, masses, cords, bands, and fringes; menisci; meniscoids; and meniscocapsular complexes.…”
Section: Discussionmentioning
confidence: 99%
“…Unlike anterior synovial folds, which have been arthroscopically classified, posterior synovial folds or other abnormalities have not been classified. Most posterior intra-articular abnormalities are interposed in the radiocapitellar joint, leading to catching or locking of the elbow [ 4 , 5 , 6 ]. To the best of our knowledge, tendon-like intra-articular abnormalities similar to that in this case have not been reported in clinical or cadaveric studies.…”
Section: Discussionmentioning
confidence: 99%
“…Hence, these data indicate that either resection or reconstruction of the annular ligament can be performed in patients affected by this type of snapping with a substantial and clinically relevant amelioration of symptoms (35). Painful synovial plicae in the postero-lateral corner of the radiohumeral joint may generate snapping (59). Plicae are meniscus-like remnants of fetal development of the elbow joint (32,60).…”
Section: Intra-articular (Lateral) Snappingmentioning
confidence: 91%
“…Plicae are meniscus-like remnants of fetal development of the elbow joint (32,60). They are found in 86% -100% of cases, but symptomatic plicae are much less common representing only 7.2%-8.7% of all elbow arthroscopies (59). Plicae undergo significant modifications from homogenous structures intermingled with the annular ligament in fetuses to a more heterogenous appearance in adults (61).…”
Section: Intra-articular (Lateral) Snappingmentioning
confidence: 99%