{"id":4290,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/patellardislocation\/"},"modified":"2026-01-07T14:30:55","modified_gmt":"2026-01-07T14:30:55","slug":"patellardislocation","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneetraumaticevent\/patellardislocation\/","title":{"rendered":"Patellar dislocation"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">History<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Young<\/li>\n\n\n\n<li>Traumatic twisting injury<\/li>\n\n\n\n<li>Could be minor twist<\/li>\n\n\n\n<li>Possible direct trauma<\/li>\n\n\n\n<li>May have history of previous episodes<\/li>\n\n\n\n<li>Swelling<\/li>\n\n\n\n<li>Relocation? Spontaneous or A&amp;E assisted?<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Signs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Limp<\/li>\n\n\n\n<li>May be swelling<\/li>\n\n\n\n<li>Loss of range of movement<\/li>\n\n\n\n<li>Patella apprehension test positive   <\/li>\n\n\n\n<li>Quads inhibition<\/li>\n\n\n\n<li>Pain around patella on palpation<\/li>\n\n\n\n<li>Confirm SLR &#8211; is extensor mechanism intact?<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1019\" height=\"681\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Patellar-Dislocation.png\" alt=\"Patellar Dislocation\" class=\"wp-image-19964\" style=\"width:608px;height:auto\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Patellar-Dislocation.png 1019w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Patellar-Dislocation-300x200.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Patellar-Dislocation-768x513.png 768w\" sizes=\"auto, (max-width: 1019px) 100vw, 1019px\" \/><figcaption class=\"wp-element-caption\">Patella apprehension test positive  \nimage copyright NHS Lothian<\/figcaption><figcaption><span class=\"media-credit\">image copyright NHS Lothian<\/span><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>M.A. &amp; J.G. 02-07-24<\/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\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Secondary care referral<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urgent referral to Trauma service if traumatic, <strong>first<\/strong> time dislocation with gross swelling<\/li>\n\n\n\n<li>For recurrent dislocations IF have completed extensive rehabilitation<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">How to Refer<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">SCI gateway &gt;Lauriston Buildings &gt; Orthopaedics \u2013 Knee &gt; LI Non-Arthroplasty Knee<\/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\">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<h3 class=\"wp-block-heading\">Primary care investigations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-Ray AP, lateral and skyline view &#8211; Urgent if high index of suspicion<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Primary care treatment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Analgesia<\/li>\n\n\n\n<li>PRICE (Protection, Rest, Ice, Compression, Elevation)<\/li>\n\n\n\n<li>Physiotherapy<\/li>\n\n\n\n<li>Patella stabilising brace \u2013 suggest patient purchase<\/li>\n<\/ul>\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<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Signs M.A. &amp; J.G. 02-07-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4075,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[415],"class_list":["post-4290","page","type-page","status-publish","hentry","category-patellardislocation"],"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\/orthopaedics\/knee\/kneetraumaticevent\/patellardislocation\/\" rel=\"tag\">Patellar dislocation<\/a>","rttpg_excerpt":"History Signs M.A. &amp; J.G. 02-07-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4290","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=4290"}],"version-history":[{"count":9,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4290\/revisions"}],"predecessor-version":[{"id":26116,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4290\/revisions\/26116"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4075"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}