Mediopatellar plica test of knee :

• This test is also known as to Mital-Hayden test & medial plica sheft test .
• This test is used to by the doctor for check to plica injury of knee.
• This test is perform in to examination part of assessment .

What is Purpose of this plica test ?

• This test is used to for identify to pain which is originate from to medial patellar plica.
• It is also used to for check the plica injury of knee.

How do you perform of this plica test ?

• Starting position of this test is supine.
• Examiner is stands on to side of to affected leg.
• Patient’s knee position is about to 30° of flexion which is supported by to examiner.
• Then examiner is places to two thumbs on to lateral border of to patella.
• After that pressure is applied with the help of thumbs on to patellar attempting for to glide the patella medially.

Interpretation of this plica test ?

• During to performance of test Provocation of to pain is indicate to inflammation of medial patellar plica.
• If to patient is complain to pain or click it is indicate to positive test caused by pinching of to edge of to plica between to medial femoral condyle & to patella.
• This pain is indicate to positive test for this test .

Clinical Context of this plica test ?

• Plica is to synovial tissue folds which is origin form to embryological but it is persist into some individuals.
• It is found at to medial then superior & inferior margins of to patella so it is asymptomatic into some individuals.
• This medial patella plica test is consists of to five folds to synovial tissue which is located into between of to medial border of the patella & the medial femoral condyle.
• It is considered to most problematic causing for up to 40° & 80° impingement into knee flexion.

• Diagnosis is generally difficult because it is no evidence of to accuracy of to different assessment methods of to plica dysfunction, though it is look like to classic meniscal symptoms.
• So that MRI is sometimes necessary for to confirm to involvement of to plica.
• Test is reversed if to symptoms is emanated from to lateral side.
• Other tests like as to McMurray’ & patellar apprehension tests which is produce to false positive result.
• Tenderness & thickening is present at to medial border of to patella over to medial femoral condyle .