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Ichilov Medical Center
Orthopaedics

Dislocation of the Patella

Injuries of this kind often occur during active sports, such as playing volleyball or soccer. Even if the patella has returned to its place, you will need an X-ray examination in Israel and to rule out a fracture or other injuries.

Causes

Dislocation often occurs in overweight individuals and women. This type of injury is also common in people with various leg defects - inwardly turned knees, high patella positioning, internal rotation of the shin. Such an injury often occurs during significant leg extension or as a result of trauma. Patellar dislocation may be accompanied by damage to the cartilage on its posterior wall. Dislocation can occur during dance activities, for example, while turning. Weakening of muscles and ligaments with age can also lead to patellar dislocation.

Symptoms of Patellar Dislocation

The symptoms are quite typical for traumatic injuries. First and foremost, there is severe pain. There is significant swelling in the knee area, with an increase in size. The knee is in a bent position, and movement in the knee joint is impossible. The injured person may experience a rise in temperature, and hemarthrosis and synovitis may be registered – accumulation of fluid or blood in the joint cavity.

Diagnosis of Patellar Dislocation in Israel

Diagnosis when suspecting a patellar dislocation in Israel begins with a physical examination of the patient and reviewing the medical history. The physician's goal is to gather information about the location of pain, its radiation, and the specific movements that trigger pain sensations. The ligaments of the knee joint are thoroughly examined. To obtain more accurate information, radiological studies are conducted, with the optimal option being a study of both knees for comparative analysis. X-rays are taken from the frontal side and from the side while standing. A CT scan allows for a more precise determination of the nature of the injury, performed at any knee flexion without distortion. To confirm the CT and X-ray data, an MRI is conducted, which provides a more complete picture of the soft tissue disruptions around the knee joint.

Treatment of Patellar Dislocation in Israel

Treatment of patellar dislocations in Israel can be conservative or involve surgical intervention. In conservative treatment, the primary goal is pain relief and reduction of the dislocation. A brace is applied to the leg to prevent bending at the knee joint. Surgery is performed if the injury is advanced, with significant swelling and synovitis present.

Prevention

Weight correction, strengthening of muscles and ligaments.

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