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Synovial plicae of the knee joint: the role of advanced MRI
  1. Katerina Vassiou1,
  2. Marianna Vlychou2,
  3. Aristidis Zibis1,
  4. Athina Nikolopoulou1,
  5. Ioannis Fezoulidis2,
  6. Dimitrios Arvanitis1
  1. 1Department of Anatomy, Faculty of Medicine, University of Thessaly, Larissa, Greece
  2. 2Department of Radiology, University of Thessaly, Larissa, Greece
  1. Correspondence to Dr Katerina Vassiou, Department of Anatomy, Medical School, University of Thessaly, Biopolis, Larissa 41110, Greece; avassiou{at}


Synovial plicae are normal anatomical structures of the knee that may become symptomatic. MRI is an established technique for evaluating the anatomy of the knee, and it is a valuable tool for detecting plicae because of its high resolution resulting in increased tissue characterisation. At MRI, knee plicae appear as low-signal-intensity structures of variable size and thickness, and they are better visualised at fluid-sensitive sequences with or without fat suppression. The combined use of clinical examination and MRI may also facilitate the diagnosis of fibrotic or inflamed plicae that may be symptomatic. Arthroscopy remains the gold standard for recognition and repair of knee plicae in cases of knee dysfunction.

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