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KNEE MRI PLICA SUPRAPATELLAR BURSA LIPOHEMARTHROSIS
NORMAL SUPRA PATELLAR PLICA
- The normal supra patellar plica is not continuous. Â
- There is a gap in it ( fenestration) which allows fluid to circulate freely in the SP bursa above and below the plica.
CONTINUOUS SUPRAPATELLAR PLICA
- At times the SP Plica is continuous with no gap. Â
- Normally we probably wouldn’t notice it when reporting and it wouldn’t really matter. Â
- However… Â
- If the SP plica is not fenestrated and there is a haemarthrosis or lipo haemarthrosis. Â
- We may get the haemathrosis/ fat signal only in one section of the bursa.
THE KEY TAKE AWAY
- If you see differential signal in separate parts of the suprapatellar bursa. Â
- This is an indication of a continuous SP Plica.
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