# Extended Medial Coronal Plane Plica Formed by a Rare Fusion of Medial Patellar and Biblike Plicae in the Knee: A Case Report

## TL;DR

This case report describes a rare anatomical variant in the knee called an extended medial coronal plane plica, which was surgically removed but caused complications during later knee replacement surgery.

## Contribution

The paper introduces a previously unreported anatomical variant of knee plicae called the extended medial coronal plane plica.

## Key findings

- The extended medial coronal plane plica was successfully excised, providing temporary symptom relief.
- The presence of the plica or resulting scarring complicated subsequent total knee arthroplasty.
- The case highlights the importance of recognizing rare anatomical variants in knee surgery.

## Abstract

The traditional plicae of the knee have been updated recently with reports of new variants in the coronal plane. We report another variant, an extended medial coronal plane plica (EMCPP), previously unreported, in a 70-year-old lady with osteoarthritis of the knee and a loose body.

The preoperative symptoms after the excision of the plica and loose body were temporarily relieved for 11 months before she underwent total knee arthroplasty (TKA) for associated osteoarthritis.

Excision of the EMCPP could resolve symptoms, but resultant internal scarring or the plica itself could cause difficulty in exposure during TKA.