AMSSM Sports Medcasts
Sports Medicine Primer Series – Patellar Dislocation
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.
15:27
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Quick takeaways
- Swift reduction of a patellar dislocation is crucial to prevent cartilage damage and should be communicated to the patient to ease muscle spasms.
- Contemporary treatment emphasizes rehabilitation and monitoring for recurrent instability, making early movement and collaboration with physical therapists essential for recovery.
Deep dives
Initial Management of Patellar Dislocation
The first critical step in managing a patellar dislocation is to swiftly reduce the dislocation to prevent additional damage to the cartilage. It is recommended to gently extend the knee while applying lateral pressure to reposition the patella. This process should be communicated to the patient to help ease muscle spasms that may hinder the reduction. Following the reduction, a thorough physical examination should assess for any potential nerve or vessel damage, as well as evaluate for the presence of accompanying injuries such as ACL tears.
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