Plica Mediopatellaris
Conditions
Brief summary
The purpose of this trial is to evaluate the effect of conservative treatment in comparison to arthroscopic resection of pathological medial plicae of the knee for patients with medial plica syndrome. The investigators expect conservative treatment to be significantly superior to arthroscopic plica resection with regard to symptom remission and return to prior functional level.
Interventions
PROCEDUREPlica resection vs conservative treatment
Plica resection vs conservative treatment
Sponsors
Regionshospitalet Silkeborg
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged over 18 years * History of antermedial knee pain * Palpable medial band in clinical examination or medial plica appearence on MRI * Absence of all of the following diagnoses: Osteoarthritis, osteochondritis dissecans, meniscal injury, patella subluxation, pes anserinus bursit, patellofemoral pain syndrome * Given declaration of consent * Joining a fitness centre for the duration of minimum 3 months at their own expense.
Exclusion criteria
Aged under 18 years * Presence of one or more of the following diagnoses: Osteoarthritis, osteochondritis dissecans, meniscal injury, patella subluxation, pes anserinus bursit, patellofemoral pain syndrome * Prior surgical intervention, infection, fracture or patellar luxation concerning the relevant knee * Not willing to join a fitness centre for the duration of minimum 3 months at their own expense
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lysholm-Scale (Units on a scale) | 2 years | Difference of minimum 5 points concerning the average scoring outcome on the Lysholm Knee Scoring Scala in favor of patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Kujala-Scale (Units on a scale) | 2 years | Secondary endpoints: Higher average scoring outcome on the Anterior Knee Pain Scala (Kujala) in favor of patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Lower average results on Visual Anologue Scale concerning knee pain while walking indicated by patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale) |
| QOL-Scale (Units on a scale) | 2 years | Higher average scoring outcome on the Quality of Life Scala (extracted from KOOS) in favor of patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale) |
| VAS-Scale (Visual Analog Scale for pain) (Units on a scale) | 2 years | Lower average results on Visual Anologue Scale concerning knee pain while walking indicated by patients undergoing conservative treatment in comparison to patients undergoing arthroscopic plica resection at 2 year follow up. Units of measure (Units on a scale) |
Countries
Denmark
Contacts
Primary ContactSteffen Sauer, MD
Outcome results
None listed