Orthopedics

Orthopedics 216: Plica Syndrome | Chiropractic CE | CCEDseminars

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Chiropractor in blue gloves palpating patient's knee during clinical examination on treatment table
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Instructor:  Michael Hall, DC, FIACN
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details


Clinician pointing a pen at the medial aspect of an anatomical knee joint model while a patient reviews an X-ray in the background — Orthopedics 216: Plica Syndrome, a 2-hour chiropractic CE course

Orthopedics 216 At a Glance

CoursePlica Syndrome · 2 CE Hours
FacultyMichael Hall, DC, FIACN
FormatOnline, on-demand — start immediately
Pricing$40 ($20/hr) · automatic bundle discounts
ApprovalPACE Provider #34015544 · TCC co-sponsored

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Texas Chiropractic College co-sponsor logo FCLB PACE Provider 34015544 approval logo CE Broker auto-reporting integration logo Board-approved · PACE Provider #34015544 · CE Broker auto-reporting · Instant certificate

Plica Syndrome is a well-recognized but frequently misidentified cause of anterior and medial knee pain. The synovial plica — a fold of the joint's inner lining left over from embryological development — can become inflamed, thickened, and fibrotic in response to repetitive stress, overuse, or trauma. Patients often report a characteristic snapping, clicking, or popping sensation in the knee, commonly aggravated by prolonged sitting, squatting, or stair climbing. Because these symptoms overlap with patellofemoral syndrome, meniscal pathology, and other knee conditions, accurate clinical differentiation is essential.

In Orthopedics 216, Michael Hall, DC, FIACN takes you through a structured, clinically grounded approach to evaluating and managing this confounding presentation — from comprehensive history taking through examination, imaging judgment, and evidence-informed conservative care, all the way to documentation and co-management. Two on-demand CE hours you can put to work on the next clicking knee that rises out of your waiting-room chairs.

Where This Course Fits — Three Lanes, One Curriculum

The CCED Orthopedics series — 26 courses, 52 CE hours — organizes into three working lanes. Trace the nerve, evaluate the joint, and catch the presentations that change management:

1 · Nerve Entrapment Syndromes

201: Upper Extremity Entrapments · 202: Trunk & Upper Extremity · 203: Pelvis & Lower Extremities · 221: Burner Syndrome

2 · Joint by Joint — Shoulder to Foot

204: Rotator Cuff Syndrome · 206: Frozen Shoulder · 212: The Neck & Shoulder · 215: Foot & Ankle Conditions · You are here » 216: Plica Syndrome · 217: Achilles Tendinitis · 218: The Floppy Ankle · 219: The Hip · 225: Stress Fracture

3 · Spine, Stability & Red Flags

205: Cervical Spine Instability · 207: Finger to Floor & Sit-n-Reach · 208: Managing Chronic Pain · 209: The Romberg Sign · 210: Inflammatory Disc Disease · 211: Cervical Position Sense · 213: Coronal Plane Movement & Neuroplasticity · 214: Cauda Equina & Lumbar Radiculopathy · 220: Cervicovagopathy · 222: Dropped Head Syndrome · 223: Inflammation & Relationships · 224: Breathe & Mouth Breathing · 226: Gait & the Lumbar Spine

All courses in Orthopedics 201–224 count toward the 48-hour Clinical Chiropractic Orthopedics Certification (CCO). Browse the full Orthopedics category.

What You'll Learn

  • Recognize the characteristic presentation of plica syndrome — snapping, clicking, or popping aggravated by prolonged sitting, squatting, or stair climbing — and its embryological basis.
  • Differentiate plica syndrome from patellofemoral syndrome, meniscal pathology, and other overlapping knee conditions.
  • Conduct a structured evaluation: focused history with red and yellow flags, palpation of the plica, range of motion, special orthopedic tests, and neurological screening.
  • Apply imaging judgment — when to order, what to order, and how to interpret findings in the context of plica syndrome.
  • Design evidence-informed conservative management: chiropractic treatment, rehabilitation protocols, anti-inflammatory nutritional strategies, defensible documentation and coding, and co-management referral criteria.

Course Outline

  • Synovial plica anatomy, embryological origins, and the pathway to inflammation and fibrosis.
  • Comprehensive history taking: red and yellow flags, mechanism of onset, activity-related aggravating factors, prior treatment.
  • Physical examination sequence: palpation, range of motion assessment, special orthopedic tests, neurological screening.
  • Imaging and diagnostic testing: indications, selection, and interpretation.
  • Evidence-informed treatment: chiropractic strategies, physical therapy rehabilitation, nutritional interventions, documentation and coding best practices.
  • Collaborative care: co-management with physical therapists, orthopedic surgeons, and sports medicine physicians.
Your Instructor — Michael Hall, DC, FIACN

Michael Hall, DC, FIACN is a Fellow of the International Academy of Chiropractic Neurology with over 30 years of clinical and academic expertise. A 1990 honors graduate of Parker College of Chiropractic and Diplomate of the American Board of Chiropractic Neurology (1993), Dr. Hall is the founder of BrainDC.org and a leading voice in functional neurology, concussion management, and global chiropractic education.

Meet the full CCED faculty »

Will This Course Count in My State?

CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB). Orthopedics coursework is clinical subject matter — examination, diagnosis, and case management — and Orthopedics 216 is accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. The complete approval list for this course appears at the bottom of this page, and completions auto-report to CE Broker for participating states.

Not sure what your board requires? Check your state's rules on the CE guidelines hub.

Stack Your Hours & Save Automatically

Online courses are $20 per credit hour. Buy 6–9 hours and 10% comes off automatically at checkout; 10+ hours takes 20% off. No promo codes — the discount calculates itself.

Pair Orthopedics 216 with 215: Foot & Ankle Conditions, 217: Achilles Tendinitis, and 219: The Hip for a complete lower-extremity block — or take the whole track: the CCO Certification Bundle delivers all 24 courses (Orthopedics 201–224, 48 hours) in one $960 purchase toward the Clinical Chiropractic Orthopedics certification.

References

  1. Schindler OS. 'The Sneaky Plica' revisited: morphology, pathophysiology and treatment of synovial plicae of the knee. Knee Surgery, Sports Traumatology, Arthroscopy. 2014;22(2):247–262.
  2. Lee PYF, Nixion A, Chandratreya A, Murray JM. Synovial plica syndrome of the knee: a commonly overlooked cause of anterior knee pain. The Surgery Journal. 2017;3(1):e9–e16.
  3. Stubbings N, Smith TO. Diagnostic test accuracy of clinical and radiological assessments for medial patella plica syndrome: a systematic review and meta-analysis. The Knee. 2014;21(2):486–490.
  4. Casadei K, Kiel J. Plica Syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing.

Frequently Asked Questions

What does Orthopedics 216: Plica Syndrome cover?

Orthopedics 216 is a 2-hour online chiropractic CE course on plica syndrome, a frequently misidentified cause of anterior and medial knee pain. It covers synovial plica anatomy and pathophysiology, comprehensive history taking, a structured physical examination sequence, imaging decision-making, differentiation from patellofemoral syndrome and meniscal pathology, and evidence-informed conservative management including chiropractic treatment, rehabilitation, nutrition, documentation, and co-management. Chiropractors may search for it as a knee plica course, medial plica CE, or an anterior knee pain course.

Is Orthopedics 216 PACE-approved and accepted in my state?

Yes. CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB), with courses accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. Completions auto-report to CE Broker for states served. The full approval list for this course appears at the bottom of the page.

Why does a knee pop or click when standing up after prolonged sitting?

A snapping, clicking, or popping sensation on rising after prolonged sitting is a characteristic presentation of plica syndrome: an inflamed, thickened synovial plica moving across the joint as the knee extends. Because the same symptoms can arise from patellofemoral syndrome, meniscal pathology, and other knee conditions, accurate differentiation requires structured history taking, examination, and imaging judgment — exactly the clinical sequence Orthopedics 216 teaches.

How many CE hours does Orthopedics 216 award, and how is the certificate issued?

Orthopedics 216 awards 2 chiropractic CE hours. Your certificate is issued electronically the moment you complete the course and quiz, and is available in your CCEDseminars account. Completions auto-report to CE Broker for participating states.

Which CCED orthopedics courses pair well with Orthopedics 216?

Doctors who take Orthopedics 216 often add Orthopedics 215: Foot & Ankle Conditions, 217: Achilles Tendinitis, and 219: The Hip — a complete lower-extremity block. All Orthopedics 201–224 courses also count toward the 48-hour CCO certification.

Good to know: the course title in your account is your access link — no software installation, any modern browser, desktop or mobile. Pause and restart anytime from your account, and print your certificate the moment you finish.

Ready to Earn Your 2 CE Hours?

Online. On demand. PACE-approved. $40 — a structured plica syndrome workup for the next snapping knee on your schedule.

Add to Cart »Browse All Orthopedics Courses

CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 24, 2026 (CT)

This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chile, Colombia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Namibia, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,