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Remaining of the embryological septo the synovial plica of the articulation of the knee is a fold in the internal face the synovia (synovial membrane), which separates embryologically form the patella in three compartments, being initiated the reabsorption of this synovia from the 4th month of intra-uterine life on, allowing the patella to be contained in a single cavity.
The other one is that some patients with severe synovial plica syndrome underwent arthroscopic treatment were noticed that the mediopatellar plica as a band or strap to insert into the articular cartilage surface and causes grooves for repeatedly friction.
To test this hypothesis, a controlled trial is requested to observe whether plica excision could prevent the KOA occurrence or progression in patients with synovial plica syndrome.