Knee anatomy - the medial plica

A medial plica is a remnant of an embryonic partition in the knee, and runs along the inner aspect of the kneecap.

It may also be called a 'medial shelf' - more a vertical shelf than a horizontal one, mind - and runs down from above the patella to the fat pad below the patella.

image of abnormal medial plica being nipped between femur and patella thickened medial plica photo taken at arthroscopy


illustration of medial and suprapatellar plica

As the knee bends the 'shelf' of tissue may also give a sudden snap over the rounded ends of the femur bone.

When a medial plica becomes abnormally thickened, it can be felt with the finger as a string-like object to the inner aspect of the kneecap.

1
2
3
4
5