Physio Sessions Online
Dr. online consultation
New Delhi Branch: +91 991 0302 876
+91 (11) 460-62876
+91 9910302876
Timings
Book your Appointment
 

Patellar Instability

Patellar instability occur when the patella, or knee cap is displaced from its resting place.

Causes

 

  • A hand blow or a fall
  • Traumatic ligament laxity
  • Atraumatic

 

Patellar instability can be classified into

 

  • Acute traumatic
  • Occur after a direct blow – collision in the foots or hit against a hard surface during a fall
  • Chronic recurrent subluxation episodes occur more in women associated with maliagments
  • Habitual-usually painless
  • Occur during flexion
  • Could be because of tight lateral structures like ITB, vastus laterials

Symptoms

 

  • Instability
  • Anterior knee pain
  • Medial side tenderness
  • Patella apprehension

 

Diagnosis

 

Clinical pattelar apprehension test.

 

Imaging

 

  • MRI- To rule out
  • MPFL team
  • Trochlea hypoplasia
  • Osteochondrol lesion/ or bone brushing on medial patellar facet

 

Treatment

 

Non operative

 

  • Acute dislocation – immobilization in cast for 3 week followed by supervised rehab for 6 weeks. Main emphasis on VMO strengthning with ITB release.
  • Patellar stabilizing brace.

 

Operative

 

MPFL repair- if no significant underlying malaligment. Tibial tubercle transfer is done in addition to MPFL reconstruction or in isolation with significant malaligment.

Submit Query

    Are you candidate of Patellar Instability. You can book appointment with Dr Prateek Kumar Gupta. If you are from Outside Delhi/NCR. You can email your MRI, X-ray and reports for clinical case review & contact office for teleconsultation