The infrapatellar plica is a filmy structure - not always present - that stretches from the notch of the femur to the fat pad. It is also commonly referred to as the ligamentum mucosum.

ligamentum mucosus relationship of ligamentum mucosum and fat pad
The knee joint opened widely and the patella lifted up to reveal the various plicae including the ligamentum mucosum. Side view of the knee, showing how the infrapatellar plica (also known as the ligamentum mucosum) is related to the fat pad.

 

What use is the infrapatellar plica?

This structure is not present in every knee. It is also frequently removed to improve access during keyhole surgery of the knee, without apparent ill effect.

Synonyms: 
ligamentum mucosum
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Plicae

Part 7 of a course on Diagnostic Arthroscopy by Dr (Mr) Angus Strover

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CLINICAL PUBLICATIONS

Arthroscopic Untethering of the Fat Pad of the Knee: Release or Resection of the Infrapatellar Plica (Ligamentum Mucosum) and Related Structures for Anterior Knee Pain. Smallman TV, Portner OT, Race A, Shekitka K and Mann K. Arthrosc Tech. 2018 May; 7(5): e575–e588.

MR Imaging of Infrapatellar Plica Injury. Cothran RL et al. American Journal of Roentgenology. 2003;180: 1443-1447. 10.2214/ajr.180.5.1801443.


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