{"id":4289,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/patelladislocationsubluxationinstability\/"},"modified":"2024-12-30T14:49:48","modified_gmt":"2024-12-30T14:49:48","slug":"patelladislocationsubluxationinstability","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatricorthopaedics\/patelladislocationsubluxationinstability\/","title":{"rendered":"Patella dislocation, subluxation\/instability"},"content":{"rendered":"\n<p>\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p>The patella can subluxate or fully dislocate due to trauma- often a twisting injury, which can be fairly minor. The patella can relocate spontaneously, or require intervention. A dislocation can be associated with a fracture <\/p>\n\n\n\n<p>The instability can become recurrent especially with predisposing factors<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Female<\/li>\n\n\n\n<li>Increased soft tissue laxity<\/li>\n\n\n\n<li>Anatomical variants, such as genu valgum and shallow PFJ<\/li>\n\n\n\n<li>Young age at initial dislocation<\/li>\n\n\n\n<li>Low muscle tone<\/li>\n<\/ul>\n\n\n\n<p><strong>M.A. &amp; M-J.S. 17-04-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Advise to attend ED if patella remains dislocated or knee very swollen<\/p>\n\n\n\n<p>All other cases &#8211; refer physio.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Kneecap-Dislocation-RHCYP-V1.1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Kneecap-Dislocation-RHCYP-V1.1.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Information The patella can subluxate or fully dislocate due to trauma- often a twisting injury, which can be fairly minor. The patella can relocate spontaneously, or require intervention. A dislocation can be associated with a fracture The instability can become recurrent especially with predisposing factors M.A. &amp; M-J.S. 17-04-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[768],"class_list":["post-4289","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-patelladislocationsubluxationinstability"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/paediatric\/paediatricorthopaedics\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-patelladislocationsubluxationinstability\/\" rel=\"tag\">Patella dislocation, subluxation\/instability<\/a>","rttpg_excerpt":"&#8203;Information The patella can subluxate or fully dislocate due to trauma- often a twisting injury, which can be fairly minor. The patella can relocate spontaneously, or require intervention. A dislocation can be associated with a fracture The instability can become recurrent especially with predisposing factors M.A. &amp; M-J.S. 17-04-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4289"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4289\/revisions"}],"predecessor-version":[{"id":22318,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4289\/revisions\/22318"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}