Mediopatellar fold syndrome
A full range of orthopedic services, from diagnosis to full recovery
The mediopatellar fold is a thickening of the synovial membrane that lines the inner surface of the knee joint and secretes a lubricating fluid. It is necessary for a person only during intrauterine development, and after birth it gradually "resolves".
What is "mediopatellar fold syndrome"?
This is a pain syndrome in the knee joint, the cause of which was the inflammation of this fold.
30% of people have a mediopatellar fold, but this does not guarantee that it will necessarily become inflamed.
The syndrome is manifested by the following symptoms: pain in the front part, especially when getting up from a sitting position, painful clicks during flexion - extension movements.
The risk group for this disease includes people who regularly exercise and go to the gym. The main sports that can cause violations: running, cycling, jumping, which provides for an overload of the knee joint.
What can this disease lead to?
With inflammation, there is a pinching of the fold between the knee pad and the femur, this is the so-called patellofemoral joint. Its infringement is accompanied by aching pains, "clicks", periodic swelling in the knee joint. But the great danger lies in the fact that in the long-term absence of adequate therapy, the destruction of the articular cartilage of the patella and femur occurs, with the formation of patellofemoral arthrosis. At the same time, the thickened mediopatellar fold acts as sandpaper and mechanically "erases" the articular cartilage with each movement, which unfortunately does not recover to the original structure.
How is the MPS syndrome diagnosed?
A thorough collection of the medical history with clinical tests is performed by an orthopedic doctor in conjunction with an MRI examination and is a necessary diagnostic manipulation. It is also worth noting that only disks with images, not films, have diagnostic value. Since they save up to 150 frames of your knee joint in different projections, while on the films no more than 40. We independently evaluate the MRI images, without relying on the conclusion of other specialists.
What treatment is needed for mediopatellar fold syndrome?
The main group of drugs in the treatment are anti-inflammatory tablets and local ointments without a warming effect.
It is necessary to limit excessive physical activity for a period of 2 to 6 weeks, bending in the knee joint to 90 degrees, as well as rotational and impact loads on the joint.
At the same time, physical therapy is mandatory, aimed at maintaining the tone of the thigh muscles, especially the quadriceps, which is one of the main stabilizers of the knee joint.
What should I do if conservative treatment did not help?
In such a situation, arthroscopic removal of the mediopatellar fold is necessary. You can read more about knee arthroscopy on our website.
Can the crease grow back after surgery?
No. If you have the necessary surgical tools, the experience of an orthopedic surgeon, the crease is completely excised, which is very important. But if the removal of the fold is carried out partially, then the remnants of the fold usually become fibrotic, become even denser and cause additional damage.
Postoperative rehabilitation
The period of rehabilitation is very important, the final result of treatment largely depends on it. After the arthroscopy, massages, physical therapy, and classes on an exercise bike are prescribed. The patient should approach physical activity with caution and follow all the recommendations of the doctor.
In our clinic, it is possible to undergo a full cycle of treatment from the consultation of an orthopedic doctor to rehabilitation.
ENTRUST THE CARE OF YOUR HEALTH TO REAL PROFESSIONALS!
What is "mediopatellar fold syndrome"?
This is a pain syndrome in the knee joint, the cause of which was the inflammation of this fold.
30% of people have a mediopatellar fold, but this does not guarantee that it will necessarily become inflamed.
The syndrome is manifested by the following symptoms: pain in the front part, especially when getting up from a sitting position, painful clicks during flexion - extension movements.
The risk group for this disease includes people who regularly exercise and go to the gym. The main sports that can cause violations: running, cycling, jumping, which provides for an overload of the knee joint.
What can this disease lead to?
With inflammation, there is a pinching of the fold between the knee pad and the femur, this is the so-called patellofemoral joint. Its infringement is accompanied by aching pains, "clicks", periodic swelling in the knee joint. But the great danger lies in the fact that in the long-term absence of adequate therapy, the destruction of the articular cartilage of the patella and femur occurs, with the formation of patellofemoral arthrosis. At the same time, the thickened mediopatellar fold acts as sandpaper and mechanically "erases" the articular cartilage with each movement, which unfortunately does not recover to the original structure.
How is the MPS syndrome diagnosed?
A thorough collection of the medical history with clinical tests is performed by an orthopedic doctor in conjunction with an MRI examination and is a necessary diagnostic manipulation. It is also worth noting that only disks with images, not films, have diagnostic value. Since they save up to 150 frames of your knee joint in different projections, while on the films no more than 40. We independently evaluate the MRI images, without relying on the conclusion of other specialists.
What treatment is needed for mediopatellar fold syndrome?
The main group of drugs in the treatment are anti-inflammatory tablets and local ointments without a warming effect.
It is necessary to limit excessive physical activity for a period of 2 to 6 weeks, bending in the knee joint to 90 degrees, as well as rotational and impact loads on the joint.
At the same time, physical therapy is mandatory, aimed at maintaining the tone of the thigh muscles, especially the quadriceps, which is one of the main stabilizers of the knee joint.
What should I do if conservative treatment did not help?
In such a situation, arthroscopic removal of the mediopatellar fold is necessary. You can read more about knee arthroscopy on our website.
Can the crease grow back after surgery?
No. If you have the necessary surgical tools, the experience of an orthopedic surgeon, the crease is completely excised, which is very important. But if the removal of the fold is carried out partially, then the remnants of the fold usually become fibrotic, become even denser and cause additional damage.
Postoperative rehabilitation
The period of rehabilitation is very important, the final result of treatment largely depends on it. After the arthroscopy, massages, physical therapy, and classes on an exercise bike are prescribed. The patient should approach physical activity with caution and follow all the recommendations of the doctor.
In our clinic, it is possible to undergo a full cycle of treatment from the consultation of an orthopedic doctor to rehabilitation.
ENTRUST THE CARE OF YOUR HEALTH TO REAL PROFESSIONALS!
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Advantages of treatment in Orthopedics by Ruslan Sergienko
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10 years on medical services in Ukraine
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> 25 years of experience with leading specialists
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Anna Vovchenko and Ruslan Sergienko are recognized opinion leaders among the orthopedic traumatologists
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> 150,000 consultations were held
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> 7,500 surgeries were performed
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All types of pain management
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The operating unit is equipped according to international standards
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Availability of all medicines and supplies
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Single rooms, equipped with the characteristics of orthopedic patients
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Three meals a day
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Postoperative rehabilitation by certified specialists
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Pricing Transparency