{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T17:47:13Z","timestamp":1785692833863,"version":"3.56.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Surgical resection is usually required for symptomatic elbow plicae that have failed nonoperative therapy. However, evidence of surgical outcomes has not been presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To review the surgical outcomes for the treatment of synovial plicae in the radiocapitellar joint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Systematic review; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched the PubMed, Ovid\/MEDLINE, Cochrane Library, Google Scholar, and Embase databases using keywords as well as Medical Subject Headings terms and Emtree ([(elbow OR humeroradial joint OR radiohumeral joint) AND (meniscus OR plica)] OR snapping elbow OR snapping triceps OR synovial fold syndrome OR synovial fringe) for English-language studies. We conducted a systematic review using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 14 articles comprising four level 5 and ten level 4 studies were identified, including 279 patients (284 elbows). The triggering factors reported for 58 patients were heavy labor (29 patients; 50.0%), sporting activities (17 patients; 29.3%), and nonspecific trauma (12 patients; 20.7%). Overall, 92 patients (33.0%) were administered a steroid injection before surgery. Arthroscopic plica resection was performed in 266 patients (95.3%). Intraoperatively, plicae were mostly found in the posterior (44.0%) and posterolateral (28.6%) sites, and chondromalacia of the radial head was observed in 25 patients (9.2%). Of the reported surgical outcomes, 67.7% showed a resolution of symptoms. However, 9.3% of patients had residual symptoms, which were likely associated with pre-existing radial head chondromalacia. The complication rate was reported as 1.8%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Symptomatic elbow plicae were mostly treated arthroscopically, with most of the results being favorable. Pre-existing chondromalacia and the underestimation of concomitant intra-articular abnormalities may yield an inferior outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967120955162","type":"journal-article","created":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T09:55:10Z","timestamp":1604051710000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Systematic Review of the Surgical Outcomes of Elbow Plicae"],"prefix":"10.1177","volume":"8","author":[{"given":"In-Ho","family":"Jeon","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akriti","family":"Nanda","sequence":"additional","affiliation":[{"name":"Medical Sciences Division, John Radcliffe Hospital, Oxford, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyojune","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongjun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung Jin","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Hwan","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Kholinne","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea."},{"name":"Department of Orthopedic Surgery, St Carolus Hospital, Jakarta, Indonesia."},{"name":"Faculty of Medicine, Trisakti University, Jakarta, Indonesia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,30]]},"reference":[{"key":"bibr1-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(98)90037-4"},{"key":"bibr2-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.20096"},{"key":"bibr3-2325967120955162","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.6.1771377"},{"key":"bibr4-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2017021"},{"key":"bibr5-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0174320"},{"key":"bibr6-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(88)80077-X"},{"key":"bibr7-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-002-0055-0"},{"key":"bibr8-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(05)70009-0"},{"key":"bibr9-2325967120955162","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.17.00198"},{"key":"bibr10-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-007-9006-z"},{"key":"bibr11-2325967120955162","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-002525"},{"key":"bibr12-2325967120955162","unstructured":"Howick J, Chalmers I, Glasziou P, et al. 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