Doctor insights on:
Patellar Dislocation In Children
Obviously the initial treatment for any patella dislocation is
to replace the patella into proper position. The leg should
then be immobilized to allow healing and to allow swelling to
Then one must evaluate the knee and determine if this is
a onetime traumatic event or a recurrent problem which might
require either physical therapy or a surgical procedure. ...Read more
A pat dislocation means some forces were placed on the knee that caused the patella 2 slid off the femoral grove & end upon the lateral or outer side of the knee, occasionally tho rarer 2 the inner aspect of the knee. Causes r many. Direct trauma, wt bearing & twist or due 2 congen mal alignment. Treatments r many also. C an ortho sports med 4 aval ...Read more
Patellar dislocation: Is alway laterally (to the outside of knee). It tends to reocurr. Make the inside muscles of front of thigh stronger by bending knee slightly and lifting it across other knee (like when you cross legs when sitting down). Do repetitions if 5-10 throughout the day. This will keep patella align in the middle so it does not dislocate laterally. ...Read more
Slides off femur: A pat dislocation means some forces were placed on the knee that caused the patella 2 slid off the femoral grove & end upon the lateral or outer side of the knee, occasionally tho rarer 2 the inner aspect of the knee. Causes r many. Direct trauma, wt bearing & twist or due 2 congen mal alignment. Treatments r many also. C an ortho sports med 4 aval & plan of rx. ...Read more
If you really have a history of patella dislocation, it is something
that may be successfully treated with physical therapy, but it
may require a surgical procedure to help realign the patella.
It is important to have an orthopedic exam and possibly an mri
to differentiate a subluxation problem from a dislocation. ...Read more
First rehab: First you need a proper rehab program after your knee has been evaluated by orthopaedic surgeon with possible MRI to check for damage to the cartilage and possible chipped of piece of cartilage. A program working on the inner (medial) quadriceps muscle is needed to help stabilize the patella and the use of a patella brace to help hold the patella centrally would be beneficial during the healing. ...Read more
I have many patients with patella instability
The use of quad strengthening will help
a patella instability issue.
Also use of a patella stabilization sleeve
will help somewhat.
I would recommend running on level
surfaces and avoid hills, stairs, and
crouching. ...Read more
Some do not: As with any dislocation, there are those patients with loose (or lax) joints. Some patients can experience dislocations without any pain and without any apparent injury. Their ligaments are loose enough to allow it. Most patients that dislocate the patella have an underlying predisposition (or problem that allows dislocation). An injury or trauma can then tear the ligaments that hold the patella. ...Read more
If you truly had a dislocated patella I doubt you would be able to keep running! unless it popped right back into place.
You have to get your quad muscle strong, the vastus medialis part of the quad strong to prevent further dislocation of the kneecap. You can do this by doing a straight leg raise with your quad muscle contracted. You can also get formal physical therapy from a pt. ...Read more
Yes: Yes, but uncommon.Get a more detailed answer ›
SLR's: Straight leg raises w/ a 1 or 2 lb. Ankle wt. On a daily basis (start w/ 25 and buld up to 100 per day).Lay flat on back, bend good knee to 90 degrees;.Then bring ankle back on weak leg (tightening hamstring group) then tighten quads and pick up leg and hold a foot or so off floor or couch and hold for a count of 10.Then let down relax both muscle groups and then repeat. Look up diagram of exercise. ...Read more
For post patellar dislocation, can knee supports really support the knee from recurring patellar dislocation?
Patellar dislocation: If you do your rehab and utilize your brace you have a chance for recovery without recurrence, but you are more at risk for redislocation than individual that has not had a dislocation. There are multiple structural factors which come into play. This is something for you to discuss with your orthopedist ...Read more
Small chance: You want the tissues to heal and tighten so it doesn't keep reoccurring. Most tissue repairs take 6-8 weeks to heal at a minimum. If it is just an arthroscopic lateral release, possibly. If the ligaments are repaired or there is a realignment procedure I personally would work on my rehab real good an get ready for next season. ...Read more
Femur lateral condyle bruise after patellar dislocation. Can't bend leg past 45 degrees in supine position. But can bend it upto 100 while sitting? Why: (
MRI: Obtian and orhtopedic consultation: you may have scar tissue or debris form the injury in the joint, possibly fluid. Nonetheless, obtain an immediate orthopedic consultation. ...Read more
27 year old female. Had lateral patellar dislocation in feb. My MRI shows bone bruise on lateral condyle of femur and minimal joint effusion. Treatment?
Conservative: Treatment- nsaids, warms packs /ace wrap application, physical therapy, immobilization with a brace. The small fluid accumulation may resolve by itself otherwise it needs to be drained if it builds up. Follow up with ur orthopedic. Best wishes! Http://reference. Medscape. Com/article/90068-treatment#showall. ...Read more
Basically a joint dislocation is when the joint whatever it is either a knee, ac joint ankle etc doesn't line up and shifts out of place and there is a deformity of that joint. Often times dislocations need to be reduced or put back into alignment by special techniques. ...Read more