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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
- Traumatic dislocation: Often a result of a sudden injury or impact to the knee, traumatic dislocation is common in sports-related incidents or accidents.
- 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.
- 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:
- Anatomical abnormalities: Structural issues such as a shallow patellofemoral groove or abnormal patellar shape can increase the risk of dislocation.
- Muscle imbalances: Weakness or imbalance in the muscles surrounding the knee, particularly the quadriceps and hamstrings, can lead to instability.
- Joint laxity: Excessive joint flexibility or laxity can predispose individuals to recurrent dislocation.
- Previous injuries: Prior injuries to the knee, especially if not adequately treated, may contribute to the likelihood of patellar dislocation.
- 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.
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.
- 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
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
