Mmwr715,

First off, thank you so much for taking the time to try an help me with this...

You response has prompted a couple of follow up questions on my end. I hope you don't mind answering them.

Medial Knee Plica:

1) Would this not show up on an MRI?

2) With respect to the hughston plica test: I am noticing that this is somewhat difficult to do on myself. I tried it a couple of times without much response. Only when I pressed really quite hard on the area and flexed and extended my knee, did I feel any pain at all. That being said, when that movement did elicit pain was when going from extended to flexed (But not the opposite really). However I am not sure than this pain is much worse than if I just pressed that hard on the area without the flexion/extension movement. Also of note, is that I did not really feel a "snapping/popping" sensation per se but maybe more of something kind of "rolling" under my thumb as I flexed the knee. Maybe snapping/popping is synonymous with this rolling sensation in the world of physio. I would appreciate your feedback on this.

Medial Fat Pad Syndrome:

1) Same as above...would this not have been identified by the MRI? I know that in the write up of the MRI results provided to me said that my "Suprapatellar fat pad is slightly thickened and mildly oedematous" ( I have no pain at all above my knee cap) and that my "Pre femoral fat pad and Hoffa's fat pad are normal". Would these two statements rule out a Medial Fat Pad Syndrome?

From one cold Canadian to another, I appreciate your help more than you know and I hope you're staying warm!

-S. Bailey