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Case Study Patellar Dislocation

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Patellar Dislocation and Subluxation With Phase I Rehab

The kneecap (patella) is located in a groove at the end of the thighbone (femur). Patellar dislocation and patellar subluxation are injuries that happen when the patella slips out of its normal position. In a patellar subluxation, the patella slips partly out of the groove. In a patellar dislocation, it slips all the way out of the groove.
CAUSES

This condition may be caused by:

A hit to the knee.

Twisting the knee when the foot is planted.

RISK FACTORS

This condition is more likely to develop in:

Athletes in their teens and 20s.

People who have had this condition before.

People who play certain kinds of sports, including:

Sports that include quick turns …show more content…

The inflammation in your knee gets worse.

Your knee catches or locks.

PHASE I EXERCISES

Ask your health care provider which exercises are safe for you. Do exercises exactly as told by your health care provider and adjust them as directed. It is normal to feel mild stretching, pulling, tightness, or discomfort as you do these exercises, but you should stop right away if you feel sudden pain or your pain gets worse. Do not begin these exercises until told by your health care provider.

STRETCHING AND RANGE OF MOTION EXERCISES

These exercises warm up your muscles and joints and improve the movement and flexibility of your knee. These exercises also help to relieve pain, numbness, and tingling.

Exercise A: Knee Flexion, Active Assisted

Lie on your back with both knees straight.

Slowly slide your left / right heel back toward your butt as far as you can without feeling pain.

Hook your healthy leg to the top of your left / right shin and pull back to gently help your knee bend further. Do not force your knee to bend.

Hold for __________ seconds.

Slowly slide your heel back to the starting …show more content…

Relax the muscles slowly and completely.

Repeat __________ times. Complete this exercise __________ times per day.

Exercise D: Straight Leg Raises, Hip Abductors

Lie on your side with your left / right leg on top. Your head, shoulders, knees, and hips should line up. You may bend your lower knee to help maintain your balance.

Roll your hips slightly forward so that your hips are stacked directly over each other and your left / right knee is facing forward.

Lift your top leg up 4–6 inches (10–15 cm), leading with your heel. Be sure that your foot does not drift forward and that your knee does not roll toward the ceiling. You should feel the muscles in your outer hip lifting.

Hold this position for __________ seconds.

Slowly lower your leg to the starting position and allow your muscles to relax completely.

Repeat __________ times. Complete this exercise __________ times per day.

Exercise E: Hip Extensors, Straight Leg Raises

Lie on your stomach on a firm surface. You can put a pillow under your hips if it’s more comfortable.

Tense the muscles in your butt and lift your left / right leg about 4–6 inches (10–15 cm). Keep your knee straight as you lift your

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