{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T00:53:39Z","timestamp":1793753619697,"version":"4.6.1"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2001,5,1]],"date-time":"2001-05-01T00:00:00Z","timestamp":988675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2001,5,1]],"date-time":"2001-05-01T00:00:00Z","timestamp":988675200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2001,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Painful snapping of the elbow joint is usually attributed to intra\u2010articular loose bodies, instability, or medial dislocation of the triceps muscle over the medial epicondyle. We report our experience with 14 patients who were treated arthroscopically for snapping elbow that was found to be caused by hypertrophic synovial folds associated with radiocapitellar chondromalacia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Type of Study:<\/jats:title>\n                    <jats:p>Case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The records of 14 patients who were treated arthroscopically for painful snapping elbows caused by intra\u2010articular plicae were reviewed. There were 6 women and 8 men with an average age of 36 years (range, 27 to 48 years). Nine patients had had some type of trauma to the joint. Four patients had been previously diagnosed with lateral epicondylitis and 5 with intra\u2010articular loose bodies. The average time from initial onset of symptoms to treatment was 13 months (range, 8 to 36 months). Average follow\u2010up was 24 months (range, 6 to 66 months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All patients complained of painful snapping in the posterolateral or anterolateral aspect of the elbow. The snapping occurred between 90\u00b0 and 110\u00b0 of flexion with the forearm in pronation. In 7 patients, the snapping was reproducible by passively flexing the pronated elbow, which we refer to as the flexion\u2010pronation test. At the time of arthroscopic surgery, all patients had a thickened synovial plica that would snap back and forward over the radial head, usually associated with a chondromalacic area on the radial head. Twelve patients had complete relief of their snapping after surgery. One patient in whom there was associated posterolateral rotatory elbow instability did not improve. One patient became asymptomatic for 4 years but then had recurrence of her symptoms, which persisted despite 2 subsequent arthroscopies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The presence of synovial plicae in the radiocapitellar joint must be considered in the differential diagnosis of painful snapping elbow. Arthroscopy confirms the diagnosis and allows excision of the plica.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1053\/jars.2001.20096","type":"journal-article","created":{"date-parts":[[2002,8,24]],"date-time":"2002-08-24T23:46:10Z","timestamp":1030232770000},"page":"491-495","source":"Crossref","is-referenced-by-count":139,"title":["Snapping plicae associated with radiocapitellar chondromalacia"],"prefix":"10.1002","volume":"17","author":[{"given":"Samuel A.","family":"Antuna","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery The Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn W.","family":"O'Driscoll","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery The Mayo Clinic Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2001,5,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(88)80077-X"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(98)90037-4"},{"key":"e_1_2_3_4_1","first-page":"209","article-title":"Plica synovialis (synovial fold) of the elbow. Report on one case","volume":"28","author":"Commandre FA","year":"1988","journal-title":"J Sports Med Phys Fitness"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274010-00010"},{"key":"e_1_2_3_6_1","series-title":"Operative arthroscopy","first-page":"447","volume-title":"Synovial lesions: Plicae","author":"Jackson RW","year":"1996"},{"key":"e_1_2_3_7_1","first-page":"306","article-title":"Discussion on minor injuries of the elbow joint","volume":"23","author":"Ogilvie WH","year":"1929","journal-title":"Proc R Soc Med"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3599.1218"},{"key":"e_1_2_3_9_1","unstructured":"AECaputo CTHartford ADProia JRUrbaniak.The radiocapitellar meniscal complex: An anatomical and histological analysisPresented at the Annual Meeting of the American Society for Surgery of the Hand Boston.September 1999(paper 19)"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)34039-7"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197961060-00005"},{"key":"e_1_2_3_12_1","first-page":"394","article-title":"Radio\u2010humeral synovitis","volume":"20","author":"Stack JK","year":"1946","journal-title":"Q Bull NorthwesternUniv"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173030-00015"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199802000-00011"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806301034533?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806301034533?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2001.20096","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1053\/jars.2001.20096","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1053\/jars.2001.20096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T08:48:16Z","timestamp":1778316496000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1053\/jars.2001.20096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,5]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2001,5]]}},"alternative-id":["10.1053\/jars.2001.20096"],"URL":"https:\/\/doi.org\/10.1053\/jars.2001.20096","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,5]]}}}