The AAO Journal, 2023/06, 33(2):10. doi: 10.53702/2375-5717-33.2.10, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://meridian.allenpress.com/aaoj/article/33/2/10/493538/LBORC-NUFA-Poster-Abstracts-2023-Residents)

Keywords:

case report [736]
knee [117]
male [861]
OMT [3925]
osteopathic manipulative treatment [3946]
plica band syndrome [1]
synovitis [2]

Abstract:

Introduction/Background: Plica band syndrome is a type of synovitis that can cause anterior or anteromedial knee pain. Plica band syndrome may be a result of overuse or be traumatic in origin. While arthroscopy is the gold standard, physical exam is typically sufficient for diagnosis as a palpable band is normally present. After identification of an inflamed plica band, treatments are limited to anti-inflammatories, ice, activity modification, physical therapy, and arthroscopic debridement. Case: The report is of a 57-year old male presenting with left-sided anteromedial knee pain with a palpable, tender band after starting a new exercise routine. History was negative for inciting injury and exam was without concern for osseous, ligamentous, or meniscal injury. Soft tissue technique was utilized by applying inhibitory pressure across the palpable band until a release of the tissue was appreciated. Results: Following treatment, the taut band was no longer appreciated, and the area was non-tender. The patient noted improvement in his gait and no pain while walking afterward. Discussion: Current treatments for plica band syndrome are limited, particularly for those who are unable to take anti-inflammatory medications or commit time and capital to physical therapy visits. This case demonstrates that osteopathic manipulative treatment may offer a quick, effective, and non-invasive alternative for management of plica band syndrome.