Dr. Jiwu Chen

Dr. Jiwu Chen
Injuries & conditions

Patellar instability

Patellar instability

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In plain language

The kneecap fails to remain stable in the femoral groove and may subluxate or dislocate.

01

Clinical Significance & Management

Assess osteochondral injury after dislocation and anatomical contributors to recurrence.

02

Symptoms & Clinical Presentation

1

Lateral slipping, apprehension, swelling or giving way.

03

Etiology & Injury Mechanisms

  • Twisting, collision, groove shape, patellar height or lax tissues.
04

Diagnostics & Imaging Guide

Examination and X-rays; MRI when ligament or osteochondral assessment is needed.

05

Treatment Options

Option 1

Professional acute care, protection and rehabilitation; recurrent instability or loose fragments may need surgery.

06

Rehabilitation Milestones & Timeline

Rehabilitation depends on the diagnosis, procedure and associated injuries. Progression requires assessment of healing, symptoms and function; elapsed time or a single test cannot determine readiness for sport.

Rehabilitation progression

Restore motion, quadriceps and hip control before progressing sport-specific stability tasks.

Red Flags & Urgent Warnings

Seek immediate emergency or specialist orthopaedic evaluation if any of the following occur:

An unreduced patella, locking, major swelling or inability to bear weight needs prompt care.

07

Evidence-Based Clarifications

Spontaneous relocation does not exclude cartilage or bone injury.

Sources & References

Educational clinical definitions synthesized from AAOS, Cleveland Clinic, Mayo Clinic, and HSS. Individual diagnosis and surgery require professional medical evaluation.

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