Evaluation Of Rehabilitation For Patellar Dislocation
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This paper is a review of rehabilitation for patellar dislocation. Patellar dislocation occurs when the patella slips out of the patellofemoral (trochlear) groove, most often laterally (Cheatham, Kolber, & Hanney, 2014; Enix, Sudkamp, & Scali, 2015). This can occur from direct trauma such as sudden mechanical forces exerted on the patella (Respizzi, & Cavallin, 2014; Duignan & McGibney et.al., 2016). The injury can also be the result of indirect trauma such as when the foot is fixed on the ground and biomechanical abnormalities of the lower leg come into effect (Respizzi & Cavallin et.al., 2014 et.al., 2014; Duignan & McGibney et.al., 2016). Lateral patellar dislocation primarily affects younger active populations (between 10 and 17 years old) and usually occurs due to injury during physical activity (Balcarek, Oberthür, Frosch, Schüttrumpf, & Stürmer 2014; Ménétrey, Putman, & Gard, 2014; Tsai, Hsu, Hung, & Hsu, 2012; Lehman, Beckman, & Craig, 1989; Calapodopulos, Nogueira, Eustáquio, Calapodopulos Júnior, & Rodrigues, 2016; Petri, 2015; Cheatham et.al., 2014; Enix et.al., 2015). 55%-72% of first-time patellar dislocations occur from sports (Tsai et.al., 2012; Petri et.al., 2015). Studies have also shown that women are more prone to patellar dislocations than men (Vitale, 2016; Tsai et.al., 2012; Duignan & McGibney, 2016; Calapodopulos, 2016; Cheatham et.al., 2014; Enix et.al., 2015). In a statistical analysis of sports medicine clinics, 30% of the patients had
management of recurrent patellar subluxations in a 72-year-old female with relapsing-remitting MS. She demonstrated with improvements in ROM and strength of bilateral LE. Improved strength of the quadriceps and decreased muscle atrophy improved the patients ability to complete sit to stand transfers, stand for prolonged periods and ambulate greater distances. From the initial evaluation the patient exhibited advancements in scores on the BBS, 2mWT and LEFI. Improvement of patellar tracking was attained
Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
Test Bank
MULTIPLE CHOICE
1. When teaching seniors at a community recreation center, which information will the nurse
include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
ANS: C
Comfortable shoes with good support will