A patellar dislocation occurs when the kneecap slides out of place. The patella is the bone more commonly known the kneecap. It fits securely in a V-shaped groove in front of the knee so that the patella can move up and down when the leg is bent or straightened.
Patellar dislocation is very common. Treatment includes nonsurgical manipulation of the patella, immobilization, medications, and physical therapy. In some cases, surgery may be required to repair damage caused by the dislocation.
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Trauma or abnormal movement at the knee causes patellar dislocation. Examples include:
Factors that may increase your chance of patellar dislocation include:
Other factors that can create instability in the patella include:
Patellar dislocation may cause:
Your doctor will ask about your symptoms and medical history. A physical exam will be done. This will include a thorough exam of your patella to check for tenderness and swelling. If possible, your doctor will have you walk. Your doctor may be able to make the diagnosis based on your symptoms.
Images may be taken of your knee. This can be done with:
If your patella did not return to the V-shaped groove on its own, your doctor will manipulate it back into place.
Your knee will be immobilized in a brace for stability and support. You may need the brace for up to 4 weeks. Your activities will be limited until your knee is stable again.
Medications will be given to help reduce swelling and reduce pain.
Physical therapy may be recommended to:
Improving leg strength may help prevent future dislocations.
Electrical stimulation treatments may be used to send gentle electrical pulses through the skin into local tissue. These may include:
Surgery may be needed for recurrent patellar dislocation or dislocations with severe injuries to soft tissue. It may also be needed for those who don’t recover with standard medical therapy. Surgical procedures include:
Family Doctor—American Academy of Family Physicians
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Association of General Surgeons
Canadian Orthopaedic Foundation
Acute patellar dislocation. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 26, 2012. Accessed November 5, 2013.
Panni AS, Vasso M, et al. Acute patellar dislocation: What to do? Knee Surg Sports Traumatol Arthrosc. 2013;21(2):275-278.
Unstable kneecap. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00350. Updated August 2007. Accessed November 5, 2013.
8/4/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Cincinnati Children's Hospital Medical Center. Evidence-based care guideline for conservative management of lateral patellar dislocations and instability in children and young adults aged 8-25 years. Cincinnati (OH): Cincinnati Children's Hospital Medical Center; 2014 Mar 18.
8/3/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Tuite MJ, Kransdorf MJ, et al. ACR Appropriateness Criteria® acute trauma to the knee. American College of Radiology (ACR). 2014;11. Available at: http://www.guideline.gov/content.aspx?id=49076. Accessed August 3, 2015.
Last reviewed December 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2012 EBSCO Publishing All rights reserved.
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