Not necessarily. Initial (first-time) dislocations are rarely treated surgically unless there are extenuating circumstances or associated injuries which may require surgery. Otherwise, surgery is typically reserved for patients who have demonstrated recurrent instability or who are unable to perform their desired activities due to pain, instability, or apprehension.
Is surgery for a dislocated patella ever required? Or is it always an option? I play soccer and want to keep playing but I don't want surgery.
Sometimes. If you have had only one dislocation, rehab is probably the way to go. If you have recurrent dislocations, then you should consider surgery. In most cases, if the initial dislocation is the result of a trauma, like a collision on the soccer field, the knee cap won't come out again. If it came out without any trauma, say you just turned around and it popped out, your risk is higher.
Usually not. If you dislocated patella the surgery suppose to impove it.
Dislocated patella. I don't know whether you need surgery but you MUST see a Specialist as soon as possible. Please have your Primary doctor refer you to the Specialist! Please let me know how things go!
If PT and nonsurgical methods don't help. What can I do for a dislocated patella, torn fibers, andlateral retinaculum? Surgery? Longer healing time? Help?!
MPFL reconstruction. The main tethering ligament that becomes stretched, injured or actually torn with recurrent patellar dislocations is the medial patellofemoral ligament (MPFL). Unless absolutely necessary to unload a tight lateral patellar facet, a lateral release is no longer routinely indicated. The status of the patella articular cartilage is also critical to understand as cartilage restoration may be indicated.
Knee surgery 3/2012 & 8/2013 for dislocated patella doc moved & had 2 c new doc. He twisted, pulled, etc. Serious pain now. Possible dislocation again?
Possibly. The patella is supposed to track the straightening of the knee and depends on the strength of the quadriceps and the quality of the cartilage on the underside to do its job. After surgery, the capsule of the knee can be very tight and painful. Seek referral to a physical therapist to reduce the pain and improve the knee function. Painful movement of the patella can occur without "injury", .
Avoid twisting. Unless there are some predispositions to dislocation (malalignment), typically patellar dislocations are associated with twisting and axial loads of the knee. So, to avoid, future dislocations, avoid these trauma. Most importantly, it is imperative to strengthen the quadriceps to help improve patellar tracking with knee range of motion.
4 weeks to 4 months. This depends on treatment type, severity of injury and associated injuries. If treated surgically, expect a 4-6 month time frame for recovery. If treated without surgery, return to activity can be anywhere from 4-6 weeks. If other internal damage to the knee ligaments or cartilage is present, recovery times can vary.
Let see if I could. If you know you tendency for that problem. You could wear brace and try strengthen the muscles by having program to that, avoid sport activity may cause this problem. Do repair of the structures (surgically) to correct any problems could lead to it.
You'll live. You will survive.
Of course you will! The patella typically dislocates to the outside (lateral side) of the knee. Your doctor will assess you for associated injuries (for example, ligament tear and patella osteochondral fracture). You also want to be evaluated for risk factors including easily modifiable issues like weak quads (in particular the vastus medialis. High risk of recurrence so seek treatment by a sports med specialist.