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.