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Patellar subluxation syndrome is an injury involving the kneecap. Patellar subluxation is more common than patellar dislocation and is just as disabling. [1] In this condition, the patella repetitively subluxates and places strain on the medial restraints and excessive stress/tension on the patellofemoral joint. Patellar subluxation can be ...
The patella rests in the trochlear, which is found in the distal part of the femur. The patella can dislocate from the groove because of trauma or an unnatural twisting of the knee. [5] When dislocated, the soft tissue layer that the patella rests in is damaged; the patella is forced out of its groove and back into place.
The patella's posterior surface is covered with a layer of smooth cartilage, which the base of the femur normally glides smoothly against when the knee is bent. However, in some individuals the kneecap tends to rub against one side of the knee joint, irritating the cartilage and causing knee pain.
When there is too much tension on the patella, the ligaments will be susceptible to tearing due to shear force or torsion force, which then displaces the patella from its groove. [3] Patellar dislocation may also occur when the trochlear groove is shallow, a condition defined as trochlear dysplasia. [12]
The intercondylar fossa of femur and/or the patellar surface may also be referred to as the patellar groove, patellar sulcus, patellofemoral groove, femoropatellar groove, femoral groove, femoral sulcus, trochlear groove of femur, trochlear sulcus of femur, trochlear surface of femur, or trochlea of femur.
Damage to the saphenous nerve and its infrapatellar branch is possible during medial knee surgery, potentially causing numbness or pain over the medial knee and leg. [7] As with all surgeries, there is a risk of bleeding, wound problems, deep vein thrombosis , and infection that can complicate the outcome and rehabilitation process.
Patellofemoral pain syndrome (PFPS; not to be confused with jumper's knee) is knee pain as a result of problems between the kneecap and the femur. [4] The pain is generally in the front of the knee and comes on gradually. [2] [4] Pain may worsen with sitting down with a bent knee for long periods of time, excessive use, or climbing and ...
Luxating patella cannot be present without the knee being loose, but a loose knee is not necessarily slipping out of the joint. Even with luxating patella, symptoms such as intermittent limping in the rear leg might be mild or absent. Physical examination and manual manipulation are the preferred methods for diagnosis.
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