Doctor insights on:
Reconstruction Of A Dislocating Kneecap
Patella brace 6 wks: Generally speaking, an acute patellar dislocation with no underlying patellar alignment issues or history of recurrent instability should respond to about six weeks of bracing with a patellar tracking brace. Surgery is ocassionally recommended to repair the torn structures to prevent recurrence. ...Read more
Reduce it: In an acute dislocation, straighten out the leg, reduce the dislocation, brace in extension, allow early healing, weight bear as tolerated in brace, after few weeks, apply function patellar stabilizing brace and start range of motion and progressive resistance rehabilitation exercises. ...Read more
6-12weeks: If it was the first time you dislocated you knee cap, then the usual treatment is 3-6 weeks in a knee immobilizer followed by 6 weeks of physical therapy. I usual put my patients in a patella tracking brace during this six weeks that they wear most of time. After six weeks they only wear it for sports. If it is not the first dislocation then you should really thinking abou having surgery. ...Read more
Pain and swelling: The kneecap has a groove that it glides in naturally. If it dislocates, slips out of this groove, a pop is typically felt or heard. It is usually associated with pain and swelling. In some cases the kneecap will spontaneously go back into place but in others medical assistance is required to return it to the groove. Complications may include fracture, cartilage defect, persistent instability. ...Read more
Wait 4-6 weeks: I would wait at least 4-6 weeks if it is the first time. Avoid deep squatting and twisting. Make sure you strengthen your vastus medialis of your quadriceps by doing terminal extension exercises. Wear a knee sleeve with a hole for the patella when you first start dancing again. Make sure you are seen by an orthopaedic surgeon because you can have a cartilage injury from the dislocation. ...Read more
Few days to weeks: A kneecap dislocation resulting from a traumatic contact injury may be associated with supporting ligament injury and even fracture to the undersurface of the kneecap. This often takes weeks for recovery. Surgery may even be required a non-contact kneecap dislocation in someone with "loose joints" may only take a few days to resolve. A brace and strengthening exercises are recommended. ...Read more
It depend: If there no complications it takes 6 weeks. ...Read more
Quadriceps +/- brace: Isolated quadriceps contractions, straight leg raises and similar exercises work to strengthen your extensor mechanism. The goal is toobtain balanced muscle symmetry so that the vastus lateralis no longer prefernetially pulls patella into subluxated position. Physical therapy along with a patellar tracking brace can help. ...Read more
My client's patella tends to dislocate her daughter has the same issue I've been giving her tri-planar stepping and reaching exercises whatelsecan ido?
Patella dislocation: Try doing quadriceps strength exercises like straight leg raising and side leg raising. ...Read more
Pain/defomity: If your patella was dislocated then you would be in severe pain and unable to move the knee which is often stuck in a fixed position due to pain. The knee looks abnormal and the knee cap is generally moved to the outside of the knee. ...Read more
Varies: Initial dislocations without significant associated injuries can recover in 4- 6 weeks. Recurrent dislocations or those associated with other injuries may take longer or require surgical treatment to fully recover. Often partial recovery occurs in which one can perform activities in a brace but some symptoms may persist. ...Read more
It depends!: The treatment for s dislocating kneecap can be simple therapy and a home exercise prgram, up to a complicated surgery to realign your bones around your knee. It really depends on why your kneecap or patella is dislocating and how serious the injury to the surrounding ligaments is. The first step is to get an evaluation from a surgeon with experience in these matters! ...Read more
Time varies, but PT:
Helps. Patella subluxation/ dislocation rehab focuses on stregthening the surrounding muscles to compensate for ligament laxity. Most subl/ disloc occur laterally (moves outward), & if this is the case with you, focusing on medial (inside) musculature would be recommended. There is also a brace that may be helpful.
Before returning to exercises have a x-ray to check for bone or cartilage damage. ...Read more
Low Impact: If this was your first dislocation, at 40, you are unlikely to have another. You need to undergo rehabilitation (physical therapy), if you have not already to reduce your chances of it happening again. You should be fine for low impact activities such as walking, easy biking, some eliptical machines. Until you have completed your therapy- I would avoid running and cutting activities. ...Read more
Same as in non-elder: Take anyone w/dislocated kneecap to ER if just happened. Need imaging/xrays to make sure nothing else injured/dislocated/broken. After ER visit, see Family Doc or Sports Medicine specialist for ongoing care. Bracing & exercise aka physical therapy are key to rehabilitation. Check out http://www. Nlm. Nih. Gov/medlineplus/ency/patientinstructions/000585.htm for more info. ...Read more
Dislocated my left patella. Dies this mean I have a larger chance of dislocating my knee in the future?
Let me explain: When dislocated your patella did you treat it with orthopedic doctor, if so he will guide how to restore your patella to normal. ...Read more
I dislocated my patella almost a year ago, went to PT. Was doing better. Lately I've been having pain return to the inside of my knee again, why?
Torn ligament: In order for you patella to dislocate you must tear your medial patella femoral ligament (Mpfl). If you have continued symptoms you may want to see a orthopedic surgeon. ...Read more