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. 2018 May 14;233(2):146–154. doi: 10.1111/joa.12820

Table 3.

Anatomical features, prevalence and incidence of the synovial plicae

IPP SPP MPP LPP
Origin/localization Femoral origin, intercondylar fossa in front of the anterior and lateral to the posterior cruciate ligament. It descends through the inferior joint space and proceeds as two fringelike alar folds to attach to the IFP Between the suprapatellar pouch and the true knee Originates in the suprapatellar region and passes inferiorly on the medial aspect of the knee joint before inserting into the IFP Originates from the lateral aspect of the knee and inserts into the synovial membrane
Shape/Type Five patterns:
  • separated (cord‐like);

  • split;

  • vertical septum;

  • fenestra;

  • none of the above

Four types:
  • I or septum completum,

  • II or septum perforatum,

  • III or septum residuale,

  • IV or septum extinctum

Four types:
  • A (cord‐like),

  • B (shelf‐like),

  • C

  • D

Microscopic characteristics Subsynovial adipose tissue with some dense collagen fibres, some skeletal muscle fibres Adipose tissue with undulated regular collagen fibres Subsynovial layer of areolo‐adipose tissue with collagen fibres
Prevalence 61–78.3% 33–89% 95% 20.7%
Incidence 85.5% with an age‐related decrease Up to 91.2% 18–72% <1%

IFP, infrapatellar fat pad; IPP, infrapatellar plica; LPP, lateropatellar plica; MPP, medial patellar plica; SPP, suprapatellar plica.