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