my knee popped out of place then right back in

 

Does your patella develop spontaneously dislocated? Are you worried about this? Do you want to know more about patellar dislocations? If you are one of those people who are worried about frequent dislocations in the patella of the knee and spontaneous placement, we recommend that you read more.

In this article we want to talk about patellar dislocation of the knee and partial dislocation of the knee about its cause and to some extent its treatment.

So if you are also a person who feels that your knee breaks and fits spontaneously, we recommend that you join us.

 

Introduction

Anatomy of the patella of the knee

What is a semi-dislocation of the kneecap?

What causes a patellar dislocation of the knee?

What are the clinical manifestations of patellar dislocation of the knee?

What causes patellar dislocation of the knee?

Diagnosis

treatment

Some important points in knee joint dislocation

 

 

Introduction

One of the most important parts of our knee joint is the patella, in fact the patella of the knee is responsible for the mechanism of opening and straightening the knee joint, which doctors call the mechanism of knee extension.

This mechanism is an important chain process that enables our knee joint to straighten the joint. If the patella of the knee is unstable, a set of disorders develops that affect the movements of the patella and the kneecap.

Patellar instability can cause patellar dislocation and partial knee dislocation.

There are different types of these problems and in other words, patellar instability is associated with various disorders and diseases.

 

Anatomy of the patella of the knee

One of the bones that make up the knee is the patella.

The location and groove of the patella is important to maintain the mechanism of knee movement. This bone is located at the lower end of the femur between two condyles or two ridges at the end of the femur adjacent to the knee joint.

This groove is called the sprocket or trochlear groove.

The lower surface of the patella, which is located in this cavity, is inverted, and this inverted structure causes the patella to remain in the center when the knee is bent and straightened.

There are important ligaments around the patella that help keep the bony patella in the center of the knee.

Different parts of the quadriceps muscle also contribute to the stability of the patella.

 

What is a semi-dislocation of the kneecap?

When we talk about patellar dislocation of the knee, we mean a temporary and partial dislocation.

 

The patella is a trochlear cavity (located between the two end condyles of the femur at the top of the knee joint). This cavity is where the patella moves up and down.

 

What causes a patellar dislocation of the knee?

What causes the patella of the knee to become dislodged?

 

What causes the patellar bone to shift from the groove between the condyles at the end of the thigh is something we want to talk about here. Usually, the cause of a patellar dislocation is temporary and sometimes goes away on its own.

The abnormal structure of the trochlear groove.

There may be an anatomical defect in the lower limb that causes changes in the patella.

For example, the muscle inside the thigh may not have grown or the muscle outside the thigh may have grown too much. Changes in these anatomical problems and anatomical abnormalities cause the kneecap to be higher than the kneecap of normal individuals, as well as the knee tilted.

The structural changes may be due to the lack of growth on the outside of the femur, which causes the knee joint to tilt on that side.

 

What are the clinical manifestations of patellar dislocation of the knee?

People with patellar dislocations feel that their patella is out of place, and the affected knee may feel swollen and may even feel pain in the back of the knee.

 

Another clinical manifestation is pain in the knee when the lower limb is bent and straightened.

Symptoms and manifestations of a person with a patellar dislocation of the knee can be one or more of the following:

 

  • The knee is twisted and can not bear the weight of the person.
  • The patella of the knee may slip around.
  • There is a feeling of tightness in the knee.
  • There is a feeling of swelling in the knee. When the knee moves, it looks locked.
  • The person feels pain in the front of the knee. This pain increases with activity and bending and straightening of the knee.
  • When the knee is moved, the sound of the knee and the crunch of the knee are felt.
  • There is pain in the knee even when sitting.

 

What causes patellar dislocation of the knee?

Doctors believe that a patellar dislocation may occur when the blow is applied directly to the knee.

Sudden rotation of the foot is one of the factors associated with patellar dislocation of the knee. For example, a person who is dancing and lands improperly on the ground, or a person who jumps and does not follow the standard landing principles when landing.

In fact, patellar dislocation occurs when the patella becomes the main groove in the patellofemoral fissure (the V-shaped fissure at the front of the lower end of the femur between the two end condyles of the thigh is called the pulmonary groove or trochlear groove).

 

Diagnosis

What are the solutions to diagnose patellar knee dislocation or partial knee dislocation?

 

When an accurate history is presented to the physician, the physician uses a thorough physical examination. He or she may use imaging techniques such as plain X-rays and sometimes MRIs.

The important point is that when there is a complete dislocation of the knee, the ligaments that support the patella of the knee rupture or become severely stretched, and the ligaments that connect the patella to the femur may be severely damaged.

Doctors will help with X-rays and MRIs to assess how the patella is located in the patellofemoral cleft, as well as to evaluate other factors that can cause knee pain, such as cartilage damage and ligament rupture.

 

treatment

In this section, we want to see what are the treatment options for knee dislocation or patellar dislocation of the knee.

What is the purpose of treating a patellar dislocation of the knee? That is, we can put the patellar bone of the knee that came out of its groove in place without surgery, and also create the right stability to prevent further dislocations and injuries that can affect the patella and its cartilage.

One of the important points is that doctors say that when a person experiences the first patellar dislocation of the knee and the patella settles on its own, he should undergo physiotherapy to increase the stability of the knee and not suffer from it again in the future.

  • Knee Dislocation Treatments
  • Non-surgical treatments
  • knee reduction

Depending on the cause of the patellar dislocation of the knee, your doctor will use different treatments. If the patella is completely out of place, the first step is to return the bone to its original location, which is called dislocation, and it is even interesting to say that sometimes the dislocated patella settles on its own if it does not dislodge on its own, the doctor should return the patella to its original location by placing it in a clinic or office emergency room.

 

  • Pain control

When there is a patellar dislocation of the knee and your doctor may ask you to take nonsteroidal anti-inflammatory drugs or other mild analgesics that do not require a prescription. These medications should be taken as prescribed by your doctor.

We remind you that if you want to use the acid group of drugs and buy and consume over-the-counter painkillers, we emphasize that if you have any gastrointestinal bleeding, gastrointestinal upset and allergic response to medications, you should see a doctor immediately. Let me know that sometimes stronger painkillers are needed that require a doctor's prescription and your doctor will prescribe them if you need them.

 

  • Inflammation control

When there is an acute and chronic problem, you can use ice packs to control the inflammation that is the source of the swelling and pain.

To reduce pain and inflammation, an ice pack should be applied to the inflamed area every 2 to 3 hours for 10 to 15 minutes.

Use ice packs immediately if any activity exacerbates symptoms.

Ice should not be placed directly on your skin. Sometimes massage with ice packs is useful, so it is better to use ice packs in the first 72 hours after injuries.

Now, if the above methods do not fit the patellar dislocation of the knee and semi-dislocation of the knee and the appropriate response is not received, or the patient, in addition to the patellar dislocation, has ligament damage, cartilage, bone and other parts of the joint, he should be a candidate for surgery. In the next part, we want to get acquainted with knee dislocation surgery.

Surgery for Patellar Knee Dislocation or Partial Knee Dislocation When your patellar dislocation is accompanied by ligament damage, surgery is needed. In these cases, your doctor will repair the damaged ligament, usually the patellofemoral ligament, using another ligament or surgery to repair a damaged ligament if possible.

 

  • Rehabilitation

The importance of rehabilitation is that it improves fitness, improves the speed and strength of the injured person, and also greatly improves the patellar movement of the knee in the trochlear groove.

When the ligament is repaired with surgery, physiotherapy should be started one month after the surgery while maintaining the range of motion within the range suggested by your surgeon and deemed appropriate for you. Sessions find that specific strengthening and stabilizing exercises for the lower extremities should be provided by a physiotherapist, and finally, at the end of the rehabilitation program, in the last months, more focus on exercise will be appropriate.

Some people have chronically unstable patellar knee. Unstable and chronic patella is probably due to the improper shape of the anatomy and structure of the bones, such as the trochlear groove or surrounding tissues and ligaments that fix the patella.

In these cases, there are anatomical and structural defects. Before the surgery is performed, the patient should strengthen the knee with standard scientific programs and strengthening exercises aimed at strengthening the muscles related to the patella.

Corrective movements for patellar dislocations of the knee after the patellar dislocation has formed and settled, and include these exercises in your program before and after any exercise.

Do each of these stretching exercises three times. Hold and maintain your posture for 25 to 30 seconds each time.

 

Stretching the hamstring muscles

Sit up straight on a table with one foot on the table and the other on the floor. Make sure your back is flat and there is no arch forward.

Bend your upper body forward until you feel a stretch in your body. Now hold this position for 25 to 30 seconds.

 

Straight leg lying down

Lie on your back, grasp the thigh of your foot and raise it until the hip joint is at a 90-degree angle.

Now while holding the knee with your hand, straighten your leg until you feel a stretch. Hold this position for 25 to 30 seconds.

Lie on your back with your knees towards your shoulders until you feel a stretch. Now stay in this position for 25 to 30 seconds.

 

Quadruple stretching exercises

For this position, lie on your side, take your ankle from behind your body and pull it upwards until you feel a stretch. Stay in this position for 25 to 30 seconds.

While standing, place your knee on a four-legged chair, lean forward, or grab your ankle and pull it toward your body to bend your knee to a point where you feel a stretch in your leg. Now stay in this position for 20 and 30 seconds .

Then bend your knee until you feel a stretch in your leg and stay in this position for 25 to 30 seconds.

 

Groin

Sit down, bend your knees and press the soles of your feet together, and while holding your ankles, do not let them fall apart. Slowly lower your knees so that they are stretched. Stay in this position for 25 to 30 seconds.

 

Achilles

Lay the injured leg back and stand with your heels on the ground. Slowly bend forward until you feel a stretch. Stay in this position for 25 to 30 seconds. Do this exercise once with the knee bent and once with Repeat straight knee.

In this article, we tried to talk more about patellar dislocation of the knee, which can go away on its own, and recurrent knee dislocations, but it should be said that there is a rare case in the knee joint called knee dislocation.

When we talk about hip dislocation, we mean the rare cases that are usually caused by car accidents. During this period, a lot of pressure is applied to the knee, and as a result, all the cruciate and collateral ligaments of the knee are torn and the knee has no support and the knee has no support to prevent the knee from moving around.

 

Some important points in knee joint dislocation

First, dislocations of the knee joint may occur spontaneously at the site of the accident

 

Very important arteries and nerves move behind the knee. These arteries and nerves are very close to the bones of the surfaces adjacent to the knee joint. If the knee joint is dislocated, the nerves may be severely damaged. Vascular damage can be accompanied by discoloration and coldness of the lower knee.

If the treatment is delayed and not diagnosed in time, the infected person may lose his limb.

Sometimes damage to the nerve behind the knee during a dislocation of the knee joint can cause paralysis of the knee.

Usually the dislocation of the knee joint is located at the site of the accident and there is pain and swelling after that. The affected person can not walk on the affected limb and is also unable to move the knee joint. The knee is painful. The emergency is to ensure the health of the nerves and arteries behind the knee, and may use angiography to check the health of the arteries.

Dislocation of the dislocated knee joint does not require anesthesia and can relieve slight pressure on the knee joint; But it is important that if the reduction is not done in a closed way or there is a play wound that extends from the surface of the skin to the joint or there is vascular damage, the person must have surgery after a period of recovery in which limited recovery from normal knee movement occurs, there comes a time when ligaments need to be repaired using ligament surgery if there is any damage. movement occurs when ligaments need to be repaired using ligament surgery.

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