Search results
Results from the WOW.Com Content Network
A patellar dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. [5] Often the knee is partly bent, painful and swollen . [ 1 ] [ 2 ] The patella is also often felt and seen out of place. [ 1 ]
It typically results from a hard blow to the front of the knee or falling on the knee. [1] The patella can also be fractured indirectly. For example, a sudden contraction of the quadriceps muscle in the knee can pull apart the patella. [1] Diagnosis is based on symptoms and confirmed with X-rays. [3] In children an MRI may be required. [3]
A knee dislocation is an injury in which there is disruption of the knee joint between the tibia and the femur. [3] [4] Symptoms include pain and instability of the knee. [2] Complications may include injury to an artery, most commonly the popliteal artery behind the knee, or compartment syndrome. [3] [4] [7]
The kneecap is prone to injury because of its particularly exposed location, and fractures of the patella commonly occur as a consequence of direct trauma onto the knee. These fractures usually cause swelling and pain in the region, bleeding into the joint (hemarthrosis), and an inability to extend the knee. Patella fractures are usually ...
The incidence rate of initial patellar dislocations is roughly 32.8 per 100,000 person years. [39] Nearly 41% of knee dislocations have an associated fracture, with the majority of these fractures in one of the legs. [46] Nerve injury occurs in about 15.3% of knee dislocations, while major artery injury occurs in 7.8% of knee dislocations. [46]
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 normal knee flexion is between 130 and 150 degrees. Any pain, abnormal movement, or crepitus of the patella should be noted. If there is pain or crepitus during active extension of the knee, while the patella is being compressed against the patellofemoral groove, patellofemoral pain syndrome or chondromalacia patellae should be suspected ...
The upper part of the patellar tendon attaches on the lower part of the knee cap, and the lower part of the patella tendon attaches to the tibial tubercle on the front of the tibia. Above the knee cap, the quadriceps muscle via the quadriceps tendon attaches to the top of the knee cap. This structure allows the knee to flex and extend, allowing ...