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Doctor insights on: Chipped Kneecap Treatment

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Should I get surgery or physical therapy again after dislocating my patella twice in 4 months? I also might've chipped a piece of cartilage inside.

Should I get surgery or physical therapy again after dislocating my patella twice in 4 months? I also might've chipped a piece of cartilage inside.

Patella dislocation: Difficult question. If you were adequately and completely rehabilitated following the first episode and dislocated again then surgery may be a better and more conservative answer to prevent further damage. If there is possibility of loose body from chipping surgery is highly appropriate. You need to talk frankly with your orthopedist. ...Read more

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Dr. Ward Dean
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Dr. John Michalski
638 doctors shared insights

Patella (Definition)

Patella is a thick piece of bone, more commonly known ...Read more


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My kneecap hurts after falling. What is treatment?

My kneecap hurts after falling. What is treatment?

R.I.C.E: Rest, ice, compression and elevation are the basic things for trauma. Homeopathic arnica can really help as can homeopathic bryonia. Keeping leg elevated helps a lot to keep blood circulating and decreasing discomfort. If pain continues or you have significant swelling you will need to be evaluated. You may find that traumeel also helps. ...Read more

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Dr. Ward Dean
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Which treatment can you get for damaged cartilage under the kneecap?

Which treatment can you get for damaged cartilage under the kneecap?

Treatments vary: Treatment of symptomatic patellar cartilage lesions is dependent on a variety of factors, which require a book chapter. Briefly, treatments range from soft tissue balancing and realignment alone to chondroplasty to cartilage restoration ( marrow stimulation, autograft, allograft, cell therapy). Consult with a patellofemoral cartilage restoration specialist. ...Read more

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Dr. Ward Dean
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I dislocated my kneecap for the second time in 4 months. Is surgery the main treatment or is rehab still an option?

I dislocated my kneecap for the second time in 4 months. Is surgery the main treatment or is rehab still an option?

Depends: Is this due to unusual trauma, contact sports, everyday activities such as climbing stairs, etc. What do the x-rays or M.R.I.s show. Has surgery been suggested or has rehab treatment been ordered by a physical therapist? Do you have hypereleasticity?' As a generalization, in your age group, if feasible, rehab would be preferred to surgery. ...Read more

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Dislocated knee with fractured kneecap treatment?

Dislocated knee with fractured kneecap treatment?

This depends on ...: What kind of dislocation? I would guess your knee cap slid out of position and when it came back a piece of the knee cap fractured. In this case the knee cap fracture dictates the treatment course. If the fracture is out of position you may need surgery. If it is not, bracing followed by pt can be helpful. Ultimately if knee cap is unstable you may need surgery to repair ligaments. ...Read more

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I had total knee revision March. By end April kneecap subluxes. Cause and treatment now.? In brace medial side pull

I had total knee revision March. By end April kneecap subluxes. Cause and treatment now.?  In brace  medial side pull

Exercise/brace/docto: Straight leg raise exercises will strengthen your quadriceps and pull the patella (kneecap) into place. I am sure that you were instructed how to do these after your operation. Lie on the floor and lift your leg up 18 inches with your leg locked straight. Hopefully do this wear combat boot or a weight of some king and hold it there for 40 seconds and repeat. Do both legs and see doctor ...Read more

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2 knee surgeries L knee, meniscus removal,tendon release,13 and 7yrs ago.Feels like bone on bone,severe arthritis,floating kneecap.Treatment options?

2 knee surgeries L knee, meniscus removal,tendon release,13 and 7yrs ago.Feels like bone on bone,severe arthritis,floating kneecap.Treatment options?

Need xrays/MRI: If there is full thickness cartilage loss allograft resurfacing is my first choice with an osteotomy as needed to unload the medial compartment Eventually some form of prosthetic knee replacement will be required but should be avoided as long as possible ...Read more

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What's the best treatment for patella luxation?

What's the best treatment for patella luxation?

Rehab/rare surgery: If your patella is subluxing(trying to slide out of joint), was there trauma? If this was not traumatic in origin, it is best treated with strengthening of the quad muscles, taping, bracing and neuromuscular training. If traumatic or non-traumatic failing routine care, the cause needs to be determined, such as bad bone alignment or injured ligaments. If a correctable problem, surgery possible. ...Read more

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Had patella tendinopathy 4 17 yrs after 9 weeks of treatment of gnt no better strapping doesn't help much doing exercises and it increases pain help?

Had patella tendinopathy 4 17 yrs after 9 weeks of treatment of gnt no better strapping doesn't help much  doing exercises and it increases pain help?

Patella tendinitis: Treatment options include nsaids (oral or topical), ice, brace use (chopat patellar tendon strap), and exercise modification. Specifically, eccentric or negative quad contractions have been shown to be successful. If pt not helping you could try cortisone vs platelet rich plasma injections vs prolotherapy (saline). Surgery if all else fails. ...Read more

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Dr. Ward Dean
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