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Patella dislocation-suspected

Incidence of acute patellar dislocations are reported to be rate at a rate of around 2-3%.  They occur more commonly in females than males and usually in the younger age group.  Re dislocation is highly likely following an initial dislocation and a thorough subjective history is key. 

Signs

  • Mechanism of injury usually a twist to some degree
  • Possible trauma or force applied
  • Possible prior history of similar episodes or prior dislocations
  • Swelling
  • Patient may report it reduces itself

Tests

  • Patellar Apprehension test
  • Baytens score

​Management

  • X-ray to confirm no #
  • Physiotherapy for lower limb strengthening and proprioception
  • Potential bracing