ICD-10 Code for Plica syndrome, left knee- M67. 52- Codify by AAPC.
A plica is a fold in the thin tissue that lines your knee joint. Most people have four of them in each knee. They let you bend and move your leg with ease. One of the four folds, the medial plica, sometimes gets irritated from an injury or if you overuse your knee. This is known as plica syndrome.
What is plica syndrome? A plica is a fold in the membrane that protects your knee joint. Most people have four folds in each knee. Sometimes the plica located in the middle of your knee becomes irritated. This is called plica syndrome and it's characterized by pain, swelling and instability.
The medial plica attaches to the lower end of the patella (kneecap) and runs sideways to attach to the lower end of the thighbone at the side of the knee joint closest to the other knee. Most of us (50 to 70 percent) have a medial plica, and it doesn't cause any problems.
For the medial synovial plica the examiner palpates the ligament by rolling the fingers over the plica fold, which is located between the medial border of the patella and the adductor tubercle region of the medial femoral condyle.
Plica syndrome is usually caused by stressing or overusing your knee. This is often caused by exercises that require you to frequently bend and straighten your knee, such as running, biking, or using a stair-climbing machine. An injury from an accident, such as a fall or car accident, can also cause plica syndrome.
People with plica syndrome may experience: Pain and tenderness to touch in the front of the knee, and on the inside of the kneecap. A "catching" or "snapping" sensation when bending the knee. Dull knee pain at rest, which increases with activity.
It is a thin, pliable fold of synovial tissue with elastic and areolar components. The infrapatel- lar plica may be a complete septum or may be partially attached to the anterior cruciate liga- ment. The infrapatellar plica may be split, fenes- trated, or absent [2, 3].
noun, plural pli·cae [plahy-see, -kee].
The recovery time ranges from four to six weeks. During the recovery period, a physiotherapist can help patients recover the lost strength and mobility. Regular stretching and strengthening exercises benefit the knee. The patient should allow complete recovery before starting any physical activity or sports.
A definitive diagnosis of medial plica irritation is usually obtained by physical exam. A normal examination of the patellofemoral joint should always include an examination of the patient's medial synovial plica fold to determine if they have any irritation of this structure.
Diagnosis of symptomatic plicae is based on clinical findings. MRI can detect abnormal plicae, as well as other intra-articular pathology which may account for patient symptoms.
Medial knee pain typically occurs because of a deterioration of cartilage. It can also follow a sports injury or other type of trauma to your knee. Your knee is easily injured because it's one of the most complex joints in the body.
The 2022 edition of ICD-10-CM S83.242A became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.