Patella dislocation: Difference between revisions
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==Disposition== | ==Disposition== | ||
* | ===Reduced in ED=== | ||
*Orthopedic followup within 1-2wks | |||
*Knee immobilizer, NSAIDs, partial weightbearing | *Knee immobilizer, NSAIDs, partial weightbearing | ||
* | |||
===Unable to Reduce=== | |||
*Obtain immediate ortho consult | |||
==Source== | ==Source== | ||
Revision as of 15:27, 21 November 2014
Background
- Occurs when pivot knee on fixed leg
Diagnosis
- Petella is usually displaced laterally; knee is held in flexion
Work-Up
- Post-reduction x-ray to evaluate for fracture[1]
- Usually seen at lateral femoral condyle or medial margin of patella
Treatment
- Reduce; do not need x-rays prior to reduction
- Extend knee and slide patella back into place
Disposition
Reduced in ED
- Orthopedic followup within 1-2wks
- Knee immobilizer, NSAIDs, partial weightbearing
Unable to Reduce
- Obtain immediate ortho consult
Source
- ↑ Krause E A. et al. Pediatric lateral patellar dislocation: is there a role for plain radiography in the emergency department? J Emerg Med. 2013 Jun;44(6):1126-31