Patellar dislocations are frequent and almost always laterally. The diagnosis is made clinically; X-rays are performed to rule out a fracture. The treatment consists of reduction immobilization and sometimes surgery.

Patelladislokation different from a Kniedislokation (Knieluxationen (tibiofemoral)), which is a much more serious injury.

Patellar dislocations are frequent and almost always laterally. The diagnosis is made clinically; X-rays are performed to rule out a fracture. The treatment consists of reduction immobilization and sometimes surgery. Patelladislokation different from a Kniedislokation (Knieluxationen (tibiofemoral)), which is a much more serious injury. Most patients are adult women and have an underlying chronic patellofemoral anomaly. Many dislocations reposition spontaneously before the patient can be medically examined. On associated injuries include osteochondral fracture of the patella or lateral femoral condyle Complications can include osteoarthritis in patients with patellofemoral abnormalities, recurrent dislocation or subluxation diagnosis Clinical examination X-rays to zumBruch exclude Dislocation was because she repositioned herself spontaneously, is clinically obvious; d. H. The patella is displaced laterally seen and felt and the patient keeps the knees in a slightly bent position and is not ready to straighten it. If the displacement is repositioned spontaneous, is often a Hemarthrosis present and the Peripatellarbereich is sensitive in general. carried anteroposterior and lateral radiographs of the knee and Patellaansichten to rule out a break, even if the dislocation has obviously repositioned. Therapy reduction immobilization Immediate treatment is a reduction; most patients do not require sedation or analgesia. The reduction is performed with the hip flexed the patient. Then doctors move the patella medial gently while the knee is extended. If the patella is repositioned, usually a noticeable “click” is evident and the deformity dissolves. Immediately after the reduction, the knee is immobilized with a knee brace or strut hinged to the knee in 20 ° flexion. In patients with osteochondral injury or recurrent instability, surgery may be required.

Health Life Media Team

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