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Conservative treatment in primary acute LPD (lateral patellar dislocation) is the therapy of choice. It includes a multimodal approach with behavioural education of the patient, physical therapy, braces, weight reduction and pain medication. [4] Physical therapy especially focuses on muscle strengthening and proprioceptive exercises.
The patellofemoral glide, tilt, and grind tests (Clarke's sign), when performed, can provide strong evidence for PFPS. [3] [19] Lastly, lateral instability can be assessed via the patellar apprehension test, which is deemed positive when there is pain or discomfort associated with lateral translation of the patella.
A tangent to the lateral facet of the patella. With the knee in 20° flexed, this angle should normally open laterally. [16] The patellofemoral index is the ratio between the thickness of the medial joint space and the lateral joint space (L). With the knee 20° flexed, it should measure 1.6 or less. [16]
A lateral release is a surgical procedure to release tight capsular structures (lateral retinaculum) on the outer aspect (lateral aspect) of the kneecap ().This is usually performed because of knee pain related to the kneecap being pulled over to the outer (lateral) side and not being able to run properly in the centre of the groove of the femur bone as the knee bends and straightens.
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]
Once the pelvis begins to tilt anteriorly, stop the passive range of motion, hold the affected thigh in this position, and measure the angle between the affected thigh and table to reveal the fixed flexion deformity of the hip. It is important to control the pelvic tilt to ensure that the Thomas test is valid for evaluating peak hip extension ...
The patellar tendon is a strong, flat ligament, which originates on the apex of the patella distally and adjoining margins of the patella and the rough depression on its posterior surface; below, it inserts on the tuberosity of the tibia; its superficial fibers are continuous over the front of the patella with those of the tendon of the quadriceps femoris.
The top leg is raised keeping the knee and hip straight; especially effective where there is an anterior pelvic tilt. [11] A tight hip flexor may be stretched by using a kneeling hip flexor stretch that targets the iliopsoas. [citation needed] Stretching before exercise will affect the cartilage through "creep".