AMSSM Sports Medcasts Sports Medicine Primer Series – Patellar Dislocation
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Apr 9, 2025 Dr. Jacqueline Brady, an orthopedic sports medicine surgeon and head team physician at Portland State University, delves into managing patellar dislocations in basketball players. She emphasizes the crucial role of gentle reduction techniques and comprehensive physical exams. The conversation covers treatment options, comparing non-operative and surgical paths, along with the importance of timely rehabilitation. Dr. Brady also discusses assessing knee pain long after the initial injury, underlining the significance of thorough evaluations and emerging recovery strategies.
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Immediate Management of Patellar Dislocation
- Gently reduce the patellar dislocation immediately to relieve pressure on the cartilage.
- Assess distal motor and sensory function, and examine for crepitus and ligament damage.
Shifting Approach to First-Time Dislocation
- First-time patellar dislocators may benefit from early surgical stabilization to prevent recurrence and cartilage damage.
- This contrasts with the historical approach of non-operative treatment for first-time dislocations.
Importance of Early Motion
- Avoid prolonged immobilization of the knee after patellar dislocation.
- Early motion is crucial, even with weight-bearing restrictions, to prevent scarring and stiffness.