Patella dislocation

Revision as of 20:22, 13 February 2012 by Jswartz (talk | contribs)

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 fx
    • 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
  • Knee immobilizer, NSAIDs, partial weightbearing


Disposition

  • Ortho f/u within 1-2wks
  • If unable to reduce obtain immediate ortho consult

Source

  • Tintinalli