Mediopatellar Plica Test
Purpose[edit | edit source]
Mediopatellar plica test is also known as Mital-Hayden test or Hughston plica test. It is used to identify pain originating from the medial patellar plica.
Technique[edit | edit source]
The patient lies supine while the clinician/examiner stands on the side of the affected leg, the patient's knee is positioned at about 30° flexion which is then supported by the examiner. The clinician places their two thumbs on the lateral border of the patella. pressure is then applied with the thumbs on the patellar attempting to glide it medially. Provocation of pain is indicative of an inflamed medial patellar plica.
Clinical Context[edit | edit source]
Plicae are synovial tissue folds which are embryological in origin but may persist in some individuals. They are found at the medial, superior and inferior margins of the patella and may be asymptomatic in some individuals. The medial patella plica consists of five folds of synovial tissue located between the medial border of patella and the medial femoral condyle,it is considered the most problematic causing up to 40° and 80° impingement in knee flexion.
Diagnosis is generally difficult as there is no evidence of accuracy of different assessment methods of plica dysfunction, though it can look like classic meniscal symptoms.
Resources[edit | edit source]
add any relevant resources here
References[edit | edit source]
- ↑ San Pedro College - PT Department. Mediopatellar Plica Test. Available from; https://www.youtube.com/watch?v=Jl8oD_FsccI {accessed 04/03/2021)
