Infrapatellar Coronal Plane Plica in a 60-Year-Old

Case: We report a rare case of coronal plane infrapatellar plica, also called “Bib-like plica,” in a 60-year-old patient. The start-up pain she experienced before arthroscopic excision completely resolved after the procedure. As far as we know, this is the first case of this plica in the literature in a 60-year-old patient who had associated articular cartilage loss over the medial femoral condyle adjacent to the plica, with positive magnetic resonance imaging findings outlining the structure, possibly impinging the infrapatellar fat pad. Conclusion: Excision of a symptomatic plica by arthroscopy resulted in complete relief of pain in this patient.