Lateral Patella Dislocation

Patellar dislocation is the process of the patella slipping out of the patellofemoral groove. On average, 5.8 out of every 100,000 people have patellar dislocation (Malanga, 2014). There are many ways in which patellar dislocation can occur; the four major dislocations are lateral, horizontal, vertical, and intercondylar. These four major dislocations cause individuals to often have extreme pain and often describe the pain being “inside the knee cap” (Dath, 2006, p. 6). Overall, individuals with this injury, a patient is going to need 6-8 weeks to recover from this injury and then perform physical therapy.

A closed reduction is a procedure to align bones that have moved out of place. A knee dislocation occurs when one of the leg bones slips out of its normal position in the knee socket. It typically involves the bones in the lower leg (tibia or fibula) in relation to the thigh bone (femur). Knee dislocation in a leg with an artificial (prosthetic) knee joint is not common. When this injury occurs, it is a medical emergency that needs to be treated right away.

Exercise to improve both upper and lower extremity strength. At home, a home safety check is done to

--Bilateral exercises (squats, ski jumps, tree pose, X-jumps and donkey kicks) X 20 to improve UE strength, proprioceptive input, self-regulation, balance and work behavior.

Majority of the patients that suffer with this injury have to have an open reduction internal fixation (ORIF) in order to correct the issue. The open reduction internal fixation is said to be less invasive on the bone, ligaments, muscles, and tendons, it also will relieve pain and prevent a reoccurring dislocation of the metatarsal.4 After surgery the patient is non-weight bearing for six weeks then will slowly progress to full weight bearing over a course of a couple of months. As for the rehabilitation process, the patient will most likely be in physical therapy for a long period of time. Part of the rehabilitation plan for an LFD consist of picking marbles up with the toes and placing them into a container, tracing the alphabet with the injured foot, balance exercises, and theraband exercises. One of the reason for the rehabilitation process is to regain most of the range of motion back in the ankle and foot. It also helps with rebuilding strength in the muscles of the foot and

I just want to take this essay to reflect on my life for the past year. Well its November eighteenth,my birthday, today I turn 19. This time last year, I was a high school senior with a dislocated knee and dislocated patella. I didn't know what I was going to do for college. I was going to play football at Itawamba Community College but my doctor said that it was a 95% chance that I was going to hurt my knee again and when I do I would never play again. I was already going to have to get a knee replacement when I turn twenty five so i just decided to throw away my football career. My mom encouraged me to audition for the Ole Miss symphony but I was reluctant at first because violin had always been my secret side. I decided to send in a video

Gymnasts can perform the stability ball pike, stability ball jackknife, slide plank, stability ball rollout, and front plank (Major, 1996). These exercises will help the gymnast be able to hold positions need for competition for a long duration of time. Gymnasts can also perform pushups, handstand holds, stand up on toe, stand toe raises, and bar dips to improve their muscular strength (Major, 1996). The exercises help improve individual muscles that will be used during the sport (Major, 1996). They also include movements that are used during the completion as well. The assistant exercises not only will help with movement, and strength, but will also help stabilize the joints (Major,

First, the manual muscle test (MMT) established by Daniels and Worthingham evaluates muscle strength in six stages, ranging from 0 (no muscle contraction) to 5 (able to resist strong resistance). The hip joint flexor muscle strength and knee joint extensor muscle strength on the affected side were measured, and the average of the two measurements was used in the analysis. Second, the motor age test (MAT) is based on an evaluation table in which typical motor items in normal childhood development are converted into scores. Scores are allocated to individual motor items. The score varies from 0 to 72 points (or 0–72 months), where 72 points represents the greatest motor ability. Third, Katz’s index (KI) is basic motions of daily living activity in a hospital room were evaluated at the time of initiation of exercise in a rehabilitation room. The KI evaluates whether the patient can perform the following six items, by themselves or with assistance, bathing, dressing, going to the lavatory, movement, self-control of urination and defecation, and eating meals. The evaluation is made using seven categories, from A (all items are performed independently) to G (all items need assistance), based on the number of items performed

If nonsurgical treatments like medications and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. Joint replacement surgery is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities.

Pharmacological treatments include analgesics, nonsteroidal anti-inflammatory drugs (NSAIDS), opioids hyaluronic acid, corticosteroid injections (Citiation Garcia) or disease-modifying osteoarthritis drugs (DMOADs) such as sodium pentosan polysulfate. Kumagai et al researched the efficacy of subcutaneous injections with sodium pentosan polysulfate on the improvement of cartilage while Garcia-Padilla et al researched the efficacy of intra-articular injections of bicarbonate and calcium gluconate. For treatments to be clinically significant they must alleviate the symptoms; therefore, the treatment should decrease the patient?s level of pain and/or joint stiffness from moderate to mild while resting or being active. The normal range of motion of the knee is 0 to 130 degrees for flexion and 120 to 0 degrees for extension(CITATION Mercks); therefore, within the affected joint the range of motion should increase by 10 degrees. However, the range of motion will be affected by the amount of cartilage lost and scar tissue in the knee joint; therefore, a full recovery in the range of motion should not be

I have been fortunate enough to observe my coach perform various techniques to restore mobility and motion.  One such technique that I was able to survey was the rehabilitation of an anterior shoulder dislocation. During the acute phase of therapy, isometric exercises were used to strengthen the rotator cuff muscles. The next phase was to achieve full range of motion without pain and continue to strengthen the muscles. This was done through abduction and external rotation, wall climbs/slides, and pulley’s.

In phase one a between weeks 1-2 where the athlete may be in light-to considerable pain the following exercises should be utilized; Quad Sets, Straight Leg Raises, Heel Slides, Hip exercises for flexion, extension, abduction, and adduction. These exercises should by used by a therapist to see full range of motion at the end of the weeks following up to phase 2.

Patellofemoral Pain Syndrome (PFPS) is a term that is used when describing pain in the anterior knee and surrounding areas of the joint. PFPS is most prevalent in athletes, women, and young adults but can also occur in other populations as there are several factors that contribute to PFPS such as overuse injuries, which put a great amount of force and stress on the knee and can contribute to patellar misalignment. Activities such as jogging, squatting, and climbing stairs all put increased force on the knee joints. These repetitive motions and force can cause PFPS especially if the activity’s frequency, duration, or surfaces are changed. Skeletal misalignments between the hips, knees, and ankles or muscular imbalances/weakness can lead to abnormal

The purpose of the current case report was to describe the course of care and specific therapeutic interventions for the 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 however, patellofemoral pain was not completely resolved and when the knee was unsupported she continued to experience pain on the lateral groove of the left knee when ambulating. Collectively these results provide clinicians with a framework to effectively manage patients with orthopedic impairments complicated by underlying neuromuscular disorders.

The second research article also uses cannulated cancellous screws, but it is for internal fixation of transverse patella fractures. They also added anterior tension band wiring to provide more strength to the repair. Putting these two mechanisms together reduces the risk of the fracture coming apart. The researchers hypothesize that the surgery would have a good outcome and the patients will return to prior level of function without the repair coming apart.