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Guidelines

Patellar dislocation

History

  • Young
  • Traumatic twisting injury
  • Could be minor twist
  • Possible direct trauma
  • May have history of previous episodes
  • Swelling
  • Relocation? Spontaneous or A&E assisted?

Signs

  • Limp
  • May be swelling
  • Loss of range of movement
  • Patella apprehension test positive
  • Quads inhibition
  • Pain around patella on palpation
  • Confirm SLR – is extensor mechanism intact?
Patellar Dislocation
Patella apprehension test positive image copyright NHS Lothian
image copyright NHS Lothian

M.A. & J.G. 02-07-24

Secondary care referral

  • Urgent referral to Trauma service if traumatic, first time dislocation with gross swelling
  • For recurrent dislocations IF have completed extensive rehabilitation
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