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MEDISAN
On-line version ISSN 1029-3019
Abstract
CALISTE MANZANO, Osvaldo et al. Clinical, epidemiological and endoscopic characteristics of the synovial plica in patients with arthroscopy. MEDISAN [online]. 2011, vol.15, n.8, pp.1049-1054. ISSN 1029-3019.
A prospective study of patients with surgical treatment of the knee through arthroscopy was carried out at the Rheumatology Service, belonging to "Saturnino Lora" Teaching Clinical Surgical Provincial Hospital from Santiago de Cuba during the years 2000-2009; a decade in which 663 knees were surgically treated and, 208 due to a synovial plica. This last one turned out to be the most frequent disease, with predominance in the female sex and the ages from 16 to 25 years. There was a marked clinicoarthroscopic correspondence. Preoperative diagnosis consisted of lesion of the internal meniscus, chondromalacia patellae and synovitis, reason why they should be kept in mind as differential diagnosis in this syndrome. The way of healing the surgical section of the synovial plica is the cause of symptomatic relapse and surgical reintervention, as it happened in the patients of the case material 54,0 %, mainly attributable to fibrosis in the wound area.
Keywords : synovial plica; surgical arthroscopy; rheumatology; secondary health care.