PATELLA DISLOCATION: SUITABLE FOR TRAUMA AND ACCIDENTS
How can patella dislocation stop you from playing sports?
What causes patella dislocation?
What can you do to help yourself if you have a patella dislocation?
When the patella dislocates it sits on the outside of the knee. It often relocates if someone helps you straighten the knee. It may require you to attend accident and emergency. Once back in place the knee pain improves considerably. The knee will swell and may feel insecure.
In general, treatment options you might like to try may include:
- Rest, ice, compression, and elevation (RICE) to help manage pain and swelling.
- Physiotherapy to help strengthen the muscles around the knee and improve flexibility.
- Anti-inflammatory medication can help but don't take them for a prolonged period without advice from your doctor.
What will happen if you just wait and see how it turns out after a patella dislocation?
Your knee swelling may settle down and if you strengthen the leg it is possible that the knee can recover. Only approximately 50% will suffer a further dislocations. Some patients get a sense that the patella is trying to dislocate but it doesn’t actually do so (called subluxation). When the patella dislocates it can knock a piece of cartilage off which can become a loose body which may in itself cause the knee to jam or lock.
Treatment options for patella dislocation
- Non-operative treatments include rest, ice and support sleeve. This may be then followed by physiotherapy to strengthen the muscles of the leg.
- A patella trainer knee support may help improve the stability of the patella and may allow you to get back to sports.
- If the knee has subluxations or a further dislocation you may wish to consider surgery. The procedure most frequently carried out is medial patella femoral ligament reconstruction (MPFL), a hamstring tendon is used to substitute for the ruptured MPFL. It has a high success rate but is an intricate procedure that should only be carried out by a knee specialist who is familiar with this type of surgery. Other surgeries can involve moving the tendon (tibial tubercle transfer) or deepening the groove (trochlearplasty).
How I can help if you have patella dislocation?
If you would like my help please get in touch.