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Home > West Medicine > Surgery > Orthopedics
M22.000

Recurrent Patellar Dislocation

骨外科

Common symptoms

摇摆步态、膝关节肿胀积血、髌后疼痛、髌骨劳损

The pathology of disease

Recurrent patellar dislocation is habitual lateral dislocation of the patella due to patellofemoral instability (TT-TG distance, trochlear dysplasia, patella alta, VMO weakness, ligamentous laxity). Treatment: acute: closed reduction, immobilization, ice, NSAIDs; conservative: physical therapy (VMO/quadriceps strengthening), patellar brace/taping, activity modification; surgical: medial patellofemoral ligament (MPFL) reconstruction, tibial tubercle transfer (Fulkerson), trochleoplasty, lateral release; post-op rehab; follow-up orthopedics/sports medicine.

Common Symptoms

Lateral knee pain; giving-way; audible pop; swelling; apprehension

Causes and Pathogenesis

Patellofemoral malalignment/instability causes recurrent lateral patellar dislocation.

Treatment

Reduction; immobilization; PT/brace; MPFL reconstruction; follow-up

Preventive Measures

Quadriceps strengthening; brace; avoid high-impact twisting.

Department to Visit

It is recommended to visit the Orthopedics/Sports-medicine department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.