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Sports Injuries and Others

Recurrent Patellar Dislocation

OVERVIEW

Recurrent Patellar Dislocation is a condition characterised by the repetitive displacement of the patella (kneecap) from its normal position within the patellofemoral groove. The patella is a vital component of the knee joint, facilitating smooth movement during flexion and extension. However, in cases of recurrent patellar dislocation, the patella frequently slips out of place, causing discomfort, instability, and potential damage to surrounding structures.

Types of  recurrent patellar dislocation

  1. Traumatic dislocation: Often a result of a sudden injury or impact to the knee, traumatic dislocation is common in sports-related incidents or accidents.
  2. Atraumatic dislocation: This type occurs without a specific injury and may be attributed to anatomical factors, muscle imbalances, or inherent instability in the knee joint.
  3. Congenital dislocation: Some individuals may be predisposed to recurrent patellar dislocation due to congenital factors affecting the alignment of the patella.

Causes of recurrent patellar dislocation

Several factors contribute to the recurrence of patellar dislocation:

  1. Anatomical abnormalities: Structural issues such as a shallow patellofemoral groove or abnormal patellar shape can increase the risk of dislocation.
  2. Muscle imbalances: Weakness or imbalance in the muscles surrounding the knee, particularly the quadriceps and hamstrings, can lead to instability.
  3. Joint laxity: Excessive joint flexibility or laxity can predispose individuals to recurrent dislocation.
  4. Previous injuries: Prior injuries to the knee, especially if not adequately treated, may contribute to the likelihood of patellar dislocation.
SYMPTOMS
  • Pain and swelling: Individuals may experience pain and swelling around the kneecap following a dislocation event.
  • Instability: A feeling of the knee "giving way" or being unable to support the body weight.
  • Audible popping: Some may hear a popping sound during a dislocation event.
  • Limited range of motion: Reduced ability to bend or straighten the knee due to instability.
TREATMENT
Conservative treatment

For less severe cases or as an initial approach, conservative measures may be employed:
  • Physical therapy: Strengthening exercises to improve muscle balance and stability.
  • Bracing and taping: Supportive devices to help keep the patella in place.
  • Activity modification: Adjustments to activities that may exacerbate the condition.
SURGERY
In cases where conservative measures prove insufficient, surgical intervention may be recommended:
  • Reconstruction of ligaments: Repair or reconstruction of damaged ligaments to enhance stability.
  • Realignment procedures: Surgical techniques to correct anatomical abnormalities contributing to dislocation.
  • Arthroscopy: Minimally invasive procedures to visualise and treat joint issues.

FAQ

Can recurrent patellar dislocation be prevented?
Prevention involves addressing risk factors, such as muscle imbalances and anatomical abnormalities, through targeted exercises, proper warm-ups, and protective measures during physical activities.
What is the recovery time after surgery for recurrent patellar dislocation?
Recovery time varies depending on the type of surgery performed and the individual's response to treatment. Rehabilitation typically involves a combination of physical therapy and gradually returning to normal activities, with full recovery ranging from several weeks to months.
Can recurrent patellar dislocation lead to long-term complications?
If left untreated, recurrent dislocations can contribute to chronic knee instability, cartilage damage, and an increased risk of osteoarthritis over time. Seeking timely medical attention and following recommended treatments can help minimise long-term complications.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4