Patellar Dislocation and Instability – Unstable Kneecap
If you are looking for the patellar dislocation treatment then you need to consult the best doctor for patellar dislocation in Hyderabad. As long as your kneecap (patella) stays in its groove (trochlea) in the knee, you can walk, sit, run, stand, and move easily. When the kneecap slips out of the groove, problems and pain often results.
The kneecap connects the muscles in front of thigh to shinbone (tibia). As you bend or straighten your leg a bit, the kneecap is pulled up or down. The thighbone (femur) has a V-shaped notch (femoral groove) at one of the end to accommodate the moving kneecap. In a normal knee, the kneecap fits perfectly in the groove.
• A shallow or uneven groove in the femur can make dislocation more certainly.
• A sharp blow to the kneecap, as in a fall, could also pop a kneecap out of place.
• Some children’s ligaments are looser, making their joints extremely flexible and very prone to patellar dislocation. This occurs more often in women, and the problem may affect both knees.
• Children with cerebral palsy and Down syndrome may have kneecaps that dislocate frequently due to imbalance or muscle weakness.
• Rarely, children are born with unstable kneecaps causing dislocations at a very early age, often without a pain.
• Knee buckles and can no longer support a weight
• Kneecap slips off to the side
• Knee catches during the movement
• Pain in front of the knee that increases with activity
• Pain when you sit
• Stiffness in the knee
• Creaking or cracking sounds during the movements
• Swelling on the knee
Now you got to know the causes you need to consult the doctor the best kneecap dislocation treatment in Hyderabad.
For the best clinical examination consult the best doctor for patellar dislocation in Hyderabad. During the physical examination, doctor may ask you to walk around or to straighten or bend your knee. The doctor may carefully feel the area around your kneecap and take measurements to determine if the bones are out of alignment or if the thigh muscles are very weak.
X-rays, MRI and CT scans may also be recommended to see how the kneecap fits in its groove. Your doctor will also want to eliminate other possible reasons for pain, such as a tear in the cartilage or the ligaments of the knee.
If the kneecap has been completely dislocated out of the groove, the first step is to reduce the kneecap to its right place. Most of the times, reduction happens spontaneously. Other times doctor will have to apply gentle force to push the kneecap back into place.
A dislocation often damages the underside of the kneecap and the end of it’s thighbone, which can lead to additional pain and arthritis. Arthroscopic surgery can correct thess condition.
If the kneecap is only partially dislocated, your doctor may also recommend nonsurgical treatments, such as RICE, exercises and braces. Exercises will help strengthen the muscles into your thigh so that the kneecap stays aligned.
Cycling is also often recommended as part of the physiotherapy. A stabilizing brace may also be prescribed well. The goal is for you to return to the normal activities within 1 to 3 months.
Because a dislocation often damages knee tissue, the patella often remains looser, or more unstable, than it was before a injury. As a result, the patella may dislocate again. Recurrences also are very common if the dislocation was caused by an irregularity in the structure of knee. So, consult the best doctor for patellar dislocation in Hyderabad. Ongoing exercises, such as cycling, can also strengthen quadriceps muscles in the thigh and prevent future patellar dislocations.
If patella dislocates multiple times, or continues to be very unstable despite physiotherapy and bracing, surgery may be recommended to correct the problem. You need to consult the best doctor for patellar dislocation in Hyderabad. The type of surgery will depend upon the cause of the unstable patella.
Surgical treatments often involve reconstructing ligaments that holds the patella in place. This surgery is sometimes performed arthroscopically. This ligament is called as medial patellofemoral ligament connecting the kneecap to the inner side of the thigh bone femur. A graft is harvested from the thigh to reconstruct its ligament.
Repeated dislocation caused by a congenital or any other bone deformity may require more complex surgical treatment.
Safe Return to Play
Once the knee has returned to its full motion and strength normal activities can be resumed. A full return to more demanding sports may also take more time.