Patella dislocation: an overview

Br J Hosp Med (Lond). 2021 Aug 2;82(8):1-10. doi: 10.12968/hmed.2020.0429. Epub 2021 Aug 4.

Abstract

Patella dislocation is one of the most common knee injuries, accounting for 3% of acute knee injuries. Despite its prevalence, patella dislocation is often missed, with a haemarthrosis often the only sign, albeit a non-specific one. A thorough history and examination are necessary to identify patella dislocation and its potential causes. Investigations should include cross-sectional imaging to evaluate both osseous and soft tissue structures in order to guide management. Management in the acute setting is normally non-operative, but damage to structural supports, osteochondral defects or recurrent dislocation should prompt consideration of operative treatment. Operative treatment should address the soft tissue stabilisers and/or osseus deformities that predispose to, or occur secondary to, patella dislocation.

Keywords: Hypermobility; Medial patellofemoral ligament; Patella dislocation; Quadriceps tendon; Tibial tuberosity; Trochlear groove.

MeSH terms

  • Humans
  • Joint Dislocations* / diagnostic imaging
  • Joint Dislocations* / therapy
  • Knee Injuries*
  • Knee Joint
  • Patella / diagnostic imaging
  • Patellar Dislocation* / diagnostic imaging
  • Patellar Dislocation* / epidemiology
  • Prevalence