Materiały źródłowe

• #1 Dislocated Kneecap (Patella Dislocation): Symptoms & Recovery

  https://my.clevelandclinic.org/health/diseases/21633-patellar-dislocations

  A dislocated kneecap (patella dislocation) occurs when your kneecap pops sideways out of its vertical groove at your knee joint. Its usually caused by force, from a collision, a fall or a bad step. A dislocated patella is painful and will prevent you from walking, but its easy to correct and sometimes corrects itself. […] When your patella dislocates, its forced outside of the trochlear groove and can no longer move up and down. This locks your knee and pulls the ligaments out of place, often tearing them. Most frequently, your kneecap pops out laterally (to the side of the groove). Like any dislocation, a dislocated kneecap is painful and debilitating until you correct it. But a dislocated patella will sometimes correct itself. […] Patellar dislocation treatment starts by resting your knee. Dont try to walk on it or perform any of your usual physical activities. You may also want to use an ice pack and take pain relievers (NSAIDs) to help with the pain and swelling. Your healthcare provider may treat the kneecap dislocation using several different methods:

• #1 Overview: Dislocated kneecap – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK561511/

  A kneecap dislocation is typically quite a frightening experience. If the kneecap doesnt move back into its normal position on its own, you should call an ambulance quickly (in Germany and most European countries: 112, in the U.S.: 911). If the kneecap returns to its normal position, being driven to the emergency room is enough. First aid for a dislocated kneecap includes: […] At the hospital, a doctor will give you a fast-acting painkiller and then push the kneecap back into its normal position. Often it already moves back to its normal position by slowly stretching the leg. Sometimes a special manual technique is used to help: […] Once everything is back in place, you wear a special brace or bandage to stabilize the kneecap. It may also help to use crutches at first in order to put less weight on the injured knee.

• #1 Patellar Dislocation Salt Lake City | MPFL Treatment Salt Lake City, UT

  https://aokimd.med.utah.edu/patellar-dislocation-dr-stephen-k-aoki-md.html

  Patella dislocation is commonly observed in young athletes between 15 and 20 years and commonly affects women because of the wider pelvis creates lateral pull on the patella. […] Your doctor will examine your knee and suggests diagnostic tests such as X-ray, CT scan, and MRI scan to confirm condition and provide treatment. There are non-surgical and surgical ways of treating patellofemoral dislocation. […] Non-surgical or conservative treatment includes: PRICE (protection, rest, ice, compression, and elevation) […] Physical therapy is recommended which helps to control pain and swelling, prevent formation of scar of soft tissue, and also helps in collagen formation. Physiotherapist will extend your knee and applies direct lateral to medial pressure to the knee which helps in relocation. It includes straightening and strengthening exercises of the hip muscles and other exercises which will improve range of motion.

• #1 Patella dislocation – Advice regarding healing and recovery | Hull University Teaching Hospitals NHS Trust

  https://www.hey.nhs.uk/patient-leaflet/patella-dislocation-advice-regarding-healing-and-recovery/

  A dislocated knee cap (patella) is a common knee injury. A blow or an awkward twist of your knee often causes it. The patella normally sits at the front of the knee, it glides within a groove in the thigh bone (femur) when you bend or straighten your leg. […] In most cases, a brace is not required and a patella dislocation can be managed simply in a tubigrip bandage. […] Initially you may benefit from using crutches. This may help you to walk in a normal pattern without limping. If you are using only one crutch, it is important you hold it in the opposite hand to your injured side. […] The most important initial treatment is aimed at controlling the pain and swelling by following the principles of RICE: […] Complete rest is not advisable but it is important that you prevent putting the knee under strain in the early stages of healing.

• #1 Patellar Subluxation: Symptoms, Treatment, Recovery, and More

  https://www.healthline.com/health/patellar-subluxation

  Nonsurgical treatment is recommended for the majority of people with a first-time patellar subluxation or dislocation. […] Nonsurgical treatment includes: RICE (rest, icing, compression, and elevation), nonsteroidal anti-inflammatory drugs (NSAID), such as ibuprofen (Advil, Motrin), physical therapy, crutches or a cane to take weight off the knee, braces or casts to immobilize the knee, specialized footwear to decrease pressure on the kneecap. […] Most cases of first-time patellar subluxation are treated conservatively, without surgery. Surgical treatment is recommended if you have a repeat episode or in special cases. […] MPFL reconstruction is an arthroscopic surgery involving two small incisions. In this operation, the ligament is reconstructed using a small piece of tendon taken from your own hamstring muscle or from a donor.

• #1 Dislocated Kneecap (Dislocated Patella) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/dislocated-kneecap.html

  A person with a dislocated kneecap needs care at the hospital right away. After giving pain medicine, the doctor or another health care provider will gently slide the kneecap back into place while straightening the leg. This quick maneuver is called a reduction. Then, they’ll order an X-ray to check for fractures. […] After a kneecap is back in place, a child will need to wear a knee immobilizer (a brace that keeps the knee straight) on the knee for a few weeks and avoid activities that cause pain, such as walking, standing, and repetitive bending. Kids and teens may need crutches to help with walking. Physical therapy and strengthening exercises help to heal the knee. Often, a person will go see an orthopedic provider (bone specialist) to make sure the knee is healing well. […] After dislocating a kneecap, kids and teens must stay out of sports and other physical activities for a few weeks. Most kids can return to these in about 4-6 weeks with therapy and exercises to build strength. Some kids might need to also use a supportive knee wrap or athletic brace during sports for a while. Your care team will let you know when your child is ready.

• #1 Dislocated kneecap: Symptoms, treatments, recovery, and more

  https://www.medicalnewstoday.com/articles/dislocated-kneecap

  Kneecap dislocation occurs when the patella bone, which sits at the front of the knee, comes out of position. […] Research suggests that a first-time dislocation of the kneecap can take at least 6 weeks to heal. The right treatment for a dislocated knee depends on the type and severity of the injury and whether the bone, cartilage, and other surrounding tissues have been damaged. […] Common nonsurgical options include: physical therapy, RICE therapy, which involves resting the knee to prevent further injury, applying ice packs to reduce inflammation and pain, using a compression bandage to ease swelling and provide support, elevating the knee to reduce swelling, nonsteroidal anti-inflammatory drugs, such as ibuprofen or aspirin, to reduce inflammation and pain, crutches or a cane to take weight off the knee and aid mobility, a brace to support the knee and stabilize the kneecap, shoe inserts, called orthotics, to reduce stress on the knee, aspiration, a simple clinical procedure to remove any excess fluid in the joint.

• #1 Patella dislocation – Advice regarding healing and recovery | Hull University Teaching Hospitals NHS Trust

  https://www.hey.nhs.uk/patient-leaflet/patella-dislocation-advice-regarding-healing-and-recovery/

  Ice will help reduce the pain in your knee and so should be applied for 10 to 15 minutes before performing the exercises above. This will help to reduce the swelling. […] You may have been given a tubigrip to wear on your knee, to help control your swelling. It is important this is removed if you develop any signs of poor circulation such as tingling, numbness, blueness of the skin of the foot and increasing pain. […] Walking normally on the injured leg as soon as possible after the injury will allow the muscles to regain their usual strength and prevent the knee from giving way. […] Most patients recover well from a dislocated patella however to give yourself the best chance of a good recovery it is important to work hard at the following simple exercises. These exercises will help you to regain full function, flexibility and strength and also reduce the risk of the injury reoccurring.

• #1 Knee Dislocation Treatment – Propel Physiotherapy

  https://propelphysiotherapy.com/orthopedic/knee-dislocation-treatment/

  Knee dislocation, also known as patellar dislocation, is an injury that can occur from a collision in sports, a fall, or a twisting motion of the knee while the foot is planted. […] Fortunately, physiotherapy is an effective treatment for reducing symptoms and building strength to prevent these dislocations from occurring again. […] Physiotherapy is an important component in knee dislocation treatment and for the prevention of future dislocations. Treatment often begins with immobilization of the knee joint using a splint. […] Your knee dislocation treatment plan will include increasing your range of motion at the knee both passively and actively. Strength training will also be an important component of your treatment. […] Pain management will also be integral part of therapy in the initial stages after a patellar dislocation.

• #1 Knowledge Center: Patient information about orthopedic disorders.

  https://www.iskinstitute.com/kc/knee/kneecap_dislocation/t3.html

  Your physician and physical therapist can help design a customized rehabilitation program that is best for you. […] Physical therapy after a kneecap dislocation follows a general pattern. […] Rehab progresses into strengthening exercises that focus on the quadriceps and hamstrings the main stabilizing muscles for your knee. […] Physicians usually suggest that you continue strength training even after your kneecap has been rehabilitated. […] Your main prevention goal following kneecap dislocation should be to strengthen your quadriceps and hamstring muscles so they are stronger than before the dislocation. […] Making the strengthening exercises you learned in rehab part of your regular conditioning routine is the best way to prevent future kneecap dislocations. […] Depending on the severity of your dislocation and the success of your rehab program, your physician may recommend that you avoid contact sports or risky, high-speed activities.

• #1 Patellar Dislocation — Rehab Hero

  https://www.rehabhero.ca/blog/patellar-dislocation

  Passive or active range of motion exercise may start 4-7 days following the initial injury. […] As sensitivity of the knee decreases following initial stages of rehabilitation (2 weeks after injury), progressive strengthening exercise and proprioceptive exercises may be completed to build patient confidence and reduce apprehension. […] Overall prognosis is favourable with most responding well to conservative treatment. However there is a risk of a repeat dislocation during sport (roughly 50%).

• #1 Dislocated Kneecap: Treatment Options and Injury Prevention | Mass General Brigham

  https://www.massgeneralbrigham.org/en/about/newsroom/articles/dislocated-kneecap-treatment-options-and-injury-prevention

  Physical therapy also focuses on strengthening the hip muscles and the core, because those can affect the dynamic alignment and stability of the knee says Dr. Tanaka. […] When surgery is required, it can involve a combination of procedures that is tailored to each individuals anatomy: Reconstructing the primary ligament that supports the kneecap, Improving the alignment of the knee to increase patellar stability, Deepening the groove that the kneecap fits into.

• #1 Expert Dislocated Kneecap Treatment in Miami | ASR Sports Medicine— ASR Sports Medicine

  https://asrsportsmedicine.com/dislocated-kneecap

  Key Benefits of Physical Therapy: Pain Relief: Hands-on techniques and therapeutic exercises reduce pain and swelling. Strengthening Muscles: Focused exercises build strength in the quadriceps, hamstrings, and hip muscles, providing better knee support. Improved Mobility: Stretching and range-of-motion exercises help restore flexibility to the joint. Stability Restoration: Proprioceptive and balance training enhances knee stability and prevents future injuries. Customized Recovery Plan: Individualized programs ensure safe and effective recovery based on your condition and goals. […] Chiropractic care plays a crucial role in addressing any misalignments or biomechanical issues that may contribute to or result from a dislocated kneecap. […] Key Benefits of Chiropractic Care: Joint Adjustments: Gentle manipulations realign the knee joint and surrounding structures, improving function and reducing pain. Improved Biomechanics: Chiropractic adjustments optimize movement patterns, reducing strain on the kneecap. Inflammation Management: Soft tissue techniques alleviate muscle tension and swelling around the knee. Holistic Care: Chiropractic care addresses issues in the hips, pelvis, and spine that may contribute to knee instability. Preventative Support: Regular adjustments maintain proper alignment, reducing the risk of recurrence.

• #1 How To Fix a Dislocated Knee | Symptoms & Treatment

  https://www.stoneclinic.com/patelladislocation

  If the patella has been shifted completely outside of its groove, the first step will be returning it to its normal position. This process is called reduction and can sometimes happen spontaneously. If not, a doctor can push the patella back in place. […] For patellar dislocations resulting in a damaged ligament, we will most often reconstruct the damaged ligament (patellofemoral ligament) surgically using a donor tendon. If there is damage to the articular cartilage in the joint, we can treat it arthroscopically. Failure to address these issues may lead to a chronically unstable patella and potentially an arthritic knee. […] Rehabilitation following reconstruction of the patellofemoral ligament focuses on getting the patient fitter, faster, stronger with a primary emphasis on promoting proper tracking of the patella. During the first month, emphasis is on healing of the repaired ligament while maintaining range of motion as allowed by the patient’s surgeon on an individual basis. As patients progress through the program, specific lower extremity strength and stabilization activities are introduced. In the final months of the rehab program, focus transitions to sports-specific training. […] In those cases, careful physical therapy and strengthening exercises focused on the muscles that guide the patella are prescribed first before any surgical procedure is undertaken.

• #1 Overview: Dislocated kneecap – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK561511/

  Surgery is usually considered if this is already the second time your kneecap has been dislocated. It may also be considered if the kneecap is likely to be dislocated again or if there are major cartilage or bone injuries. […] Rehabilitation starts after the kneecap has been moved back into place or following surgery. Physical therapy is a good idea after the knee has been immobilized for several days. The first goal is to start moving the knee joint more again. Swelling is treated with lymphatic drainage massages. […] After that, its important to do exercises to strengthen the muscles in the leg so that they can support the kneecap better. It is especially important to strengthen the inner thigh muscle. This muscle is connected to the ligament that stabilizes the kneecap. […] The amount of time it takes to recover from a dislocated kneecap depends on how severely the knee was injured and how it is treated.

• #1 Surgery and non-surgical treatments for chronic knee cap dislocation and patella instability –

  https://caringmedical.com/prolotherapy-news/patellofemoral-instability-pain/

  What we will discuss in this article are the various options for treatment: […] Surgery for a completely disintegrated ligament that occurs with acute injury and dislocation […] Surgery for a medial patellofemoral ligament and medial patellotibial ligament partial tear or wear and tear damage […] Regenerative medicine injections for medial patellofemoral ligament and medial patellotibial ligament partial tear or wear and tear damage. […] The majority of patella dislocations spontaneously pop back into place. […] Physical therapy should focus on closed chain exercises (an exercise such as a push-up where the furthest part of a limb remains stationary while you perform the exercise) and quadriceps strengthening. Core hip strengthening and gluteal muscle strengthening will improve external rotators of the hip, thus externally rotating the femur and decreasing the Q-angle.

• #1 Knee Dislocation Treatment – Propel Physiotherapy

  https://propelphysiotherapy.com/orthopedic/knee-dislocation-treatment/

  Another key focus of physiotherapy treatment is returning to daily activities, as well as eventually returning to sport-specific activities. […] Physiotherapy can help to strengthen the muscles pulling on the patella, such as the quadriceps. […] A physiotherapist will also help to determine if a knee brace is appropriate in the short and long term to prevent further dislocations. […] Physiotherapists play a key role in knee dislocation treatment and prevention.

• #1 Tru-Pull Knee Braces are the Best for Preventing Knee and Patella Dislocations

  https://www.donjoystore.com/preventing-kneecap-dislocations?srsltid=AfmBOorqhLTme8stA-GJ2WmC2pFNN4KIMXqfO9lxsMceJeWhU4h599Km

  A dislocated kneecap is very painful. […] A dislocated knee will need to be reset after the professional care giver assesses which of the four important knee ligaments have been torn. […] See a doctor immediately if you think you have dislocated your knee or kneecap. Do not try to reset the knee or patella yourself. […] To prevent the knee or kneecap from dislocating again and further damaging cartilage and ligaments using a knee brace. […] The Tru-Pull Lite knee dislocation brace was designed to keep the patella in its proper alignment in the groove and reduce the pain from damaged ligaments during dislocation. […] This brace is designed with pull straps above and below the patella to prevent it from dislocating again, while applying a constant corrective force on it. […] For those who need full knee support, try the DonJoy Tru-Pull Advanced System knee dislocation brace. This knee brace is useful for dislocations as it was intended to place a dynamic pull on the patella during extension to prevent derailment.

• #1 Overview: Dislocated kneecap – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK561511/

  If there was no major damage, it takes about six weeks before you can return to your normal daily activities. It is usually possible to start doing sports again after 3 to 4 months. […] If there is major damage and the knee needs to be operated on, it can take much longer to resume sports activities sometimes over one year. […] When and how intensively you can start doing sports again depends on your individual circumstances and the type of sport. Various medical tests can help you to see how the healing process is going. […] The knee isnt always as strong as it was before the treatment. It is important to do the rehabilitation exercises on your own and regularly, and not to put too much strain on the knee too soon. That would increase the risk of dislocating the kneecap again during sports. Before you resume your sports activities or increase the strain on the knee, it’s a good idea to talk with your physical therapist and doctor.

• #1 Surgery and non-surgical treatments for chronic knee cap dislocation and patella instability –

  https://caringmedical.com/prolotherapy-news/patellofemoral-instability-pain/

  General indications for surgery: […] Osteochondral injury with loose body […] Chronic instability […] Failure of nonsurgical treatment. […] The surgical options, which many of you may have already discussed with your orthopedic surgeon may include: […] Arthroscopic debridement with removal of loose bodies […] Putting the kneecap back in place and holding it there with screws and pins […] Medial patellofemoral ligament (MPFL) repair […] MPFL reconstruction with autograft versus allograft […] Osteotomy (bone reshaping). […] Many people get great benefits from conservative care and surgical repair of patella instability or chronic knee cap dislocations. For the majority, surgery can be very successful. […] Surgery for a completely disintegrated ligament occurs with acute injury and dislocation.

• #1 Dislocated kneecap: Learn More – Dislocated kneecap: When is surgery recommended? – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK561508/

  There are many different kinds of surgery to treat an unstable kneecap. The basic types are: Surgery on the joint capsule and the ligaments: This involves tightening or replacing parts of the capsule and ligaments that stabilize the kneecap on the inner side of the knee, particularly including the medial patellofemoral ligament (MPFL, see illustration). […] Surgery on the bones to correct anatomical misalignments: These procedures can deepen the trochlear groove that the kneecap fits into. It is also possible to move the patellar tendon on the shinbone to the side. […] Researchers from the Cochrane Collaboration analyzed ten studies comparing surgery with conservative treatments. […] Because the quality of the studies was too low, its not clear whether the surgery led to a greater improvement in symptoms and knee function than conservative treatment did.

• #1 Patellar Subluxation: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/patellar-subluxation

  If your symptoms continue for several months or you’ve had more than one patellar subluxation, your provider may recommend surgery. Surgical options include: Lateral release. A procedure that cuts the lateral retinaculum of your knee to improve patella positioning. It’s usually performed with other realignment procedures. Medial patellofemoral ligament (MPFL) repair. A procedure to repair and strengthen the ligaments that hold your patella in place. MPFL reconstruction. An arthroscopic surgery in which the medial patellofemoral ligament of your knee is reconstructed using your hamstring muscle. Osteotomy. A common procedure that involves cutting your tibia at certain angles for realignment of your tibia, patella, femur and connective tissues. […] A patellar subluxation can be a debilitating condition. It’s painful and can make your kneecap feel unstable. Although you may be able to pop your patella back into place, you should still see your healthcare provider. Repeated subluxations can lead to complete dislocations over time. Your provider can help prevent that from happening. They’ll recommend treatment options that’ll strengthen your knee and get you back on your feet.

• #1 Patellar Subluxation: Symptoms, Treatment, Recovery, and More

  https://www.healthline.com/health/patellar-subluxation

  Tibial tubercle transfer operation requires an incision about three inches long above the shin bone. In this operation, your doctor transfers a small piece of the tibial tuberosity to improve the attachment of the tendon. […] If you dont have surgery, your recovery will begin with the basic four-letter treatment known as RICE. […] If youve had surgery, the recovery is a longer process. It may take four to nine months before youre able to resume sports, though you should be able to resume light activities within two to six weeks. […] Certain exercises may help strengthen your leg muscles and reduce the chance of knee injuries, including patellar subluxation. […] If youve already had a kneecap injury, wearing a brace can help prevent recurrence.

• #1 Kneecap Dislocation | Knee Specialists

  http://www.kneespecialists.co.uk/conditions-procedures/knee-conditions/kneecap-dislocation/

  Medial patellofemoral ligament reconstruction The medial patellofemoral ligament is a fibrous structure that runs from the inner aspect of the kneecap to the inner aspect of the thigh bone. It is said to provide up to 60% of the stability to the kneecap in a normal shaped knee and has to rupture to allow the kneecap to dislocate. […] We reconstruct this ligament using keyhole surgery and use a single hamstring tendon as the graft. Repair of the ligament alone is seldom successful. This is an extremely effective operation in the right situation. […] Trochleoplasty In people in whom the groove on the front of the thigh bone has failed to develop, a bump rather than groove will be present resulting in a high chance of recurrent dislocations of the kneecap off the outside of the bump. The logical solution is to create a groove rather than try to hold the kneecap on top of the bump. This operation to create a groove is called a trochleoplasty. It is a highly specialised operation done by a handful of surgeons across the world. 93% of patients would have the operation again and would recommend it to others. A number of different operations have been grouped under the umbrella term of trochleoplasty and care must be taken when researching these.

• #1 Patellar Dislocation | Knee Specialist | Chicago, Westchester, Hinsdale IL – Nikhil Verma, MD

  https://www.sportssurgerychicago.com/knee/patellar-dislocation/

  Patellar dislocations normally cause associated knee conditions, such as tearing of the ligaments. […] The initial treatment of a patellar dislocation is to create immobilization of the knee for a specific amount of time determined by Dr. Verma. Bracing the joint will allow a decrease in swelling and an increase in patella stabilization. A physical therapy program is often recommended once the knee begins to heal. The exercises will help strengthen the thigh muscles and reduce tendonitis of the knee so the patella stays aligned and reduces the risk of recurrent dislocation. […] If the dislocated patella does not heal properly or dislocation continues after non-surgical measures, surgery may be recommended by Dr. Verma. Arthroscopic knee surgery is typically used to remove loose bodies and treat other damage within the joint. The ligaments that hold the patella in place will be reconstructed using small, minimally invasive incisions. Surgically treating a patellar dislocation may also decrease the risk of another dislocation by lessening lateral tension and tightening the medial restraint.

• #1 Patellar Injury and Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase

  https://emedicine.medscape.com/article/90068-treatment

  When Camanho et al compared 33 patients with acute first-time patellar dislocation who underwent conservative versus open repair of the MPFL, after a mean of 36 months, 8 patients in the conservative group had recurrent dislocations compared with none in the surgical group. […] Operative choices may be classified into distal, proximal, and combined procedures. […] There are 3 types of primary procedures for medial repair, all of which attempt to recreate an appropriate physiologic mechanism at the knee joint by improving the integrity of the structures that provide medially directed forces on the patella. […] Reconstruction has been favored over primary repair because it provides lower recurrence rates. […] Tibial tubercle transfer was first described by Hauser in 1938 with a medial and distal transplantation of the tibial tuberosity.

• #1 Patellar Injury and Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase

  https://emedicine.medscape.com/article/90068-treatment

  Any physical therapy program for patellofemoral problems must address tightness of the lower-extremity musculature. […] An important concept in the rehabilitation of patellar dislocation and patellofemoral pain is knee flexion. […] Once isometric open kinetic chain exercises are tolerated without discomfort, the rehabilitation program advances to closed kinetic chain exercises. […] Important goals are to restore ROM in the joint, mobilize soft tissues, and strengthen the surrounding musculature. […] Surgical intervention may be appropriate in 2 different patient populations: (1) those with normal anatomy who experience recurrent dislocation or pain and (2) those with an anatomic abnormality who may benefit from surgical intervention either upon initial acute dislocation or later with recurrence of dislocation or subluxation.

• #1 Kneecap Dislocation | Knee Specialists

  http://www.kneespecialists.co.uk/conditions-procedures/knee-conditions/kneecap-dislocation/

  Tibial tubercle osteotomy The tibial tubercle is the lump on the front of the shin bone where the tendon from the kneecap joins the shin bone. An osteotomy is a detachment of the lump of bone and its reattachment in a different place using screws to hold it in the new position. The bone will then heal in around 6 weeks taking the load off the screws. This operation is usually appropriate in people who have a high kneecap or twist in the thigh and shin bones. It is important that this operation is not used in all people with kneecap dislocation as we know that it can increase the risk of arthritis if used incorrectly.

• #1 Patella Dislocation and Instability | ACE Physical Therapy and Sports Medicine Institute

  https://ace-pt.org/patella-dislocation/

  If this treatment fails to provide complete restoration of a stable patella femoral joint, the doctor might perform surgery to repair or reconstruct the MPFL. […] Surgery repairs the ligament if there is enough salvageable tissue. […] The repaired ligament will be protected from activity and moving through certain ranges of motion for approximately 8 weeks. […] Formal Physical Therapy can begin immediately. […] The initial phase (weeks 1-3) is dedicated to reducing pain and swelling. […] The second phase (weeks 3-8) is a transition from non and partial weight bearing to full weight bearing. […] The final phase of therapy (weeks 8 16 or longer) is the time period that focuses primarily on regaining full strength, proprioception and muscular endurance throughout the core and lower extremities.

• #1 Patellar Dislocation | Orthopedics & Sports Medicine

  https://health.uconn.edu/orthopedics-sports-medicine/conditions-and-treatments/where-does-it-hurt/knee/patellar-dislocation/

  Surgical procedures on the patella are usually done in the outpatient setting. Procedures limited to altering soft-tissue tension begin rehabilitation within a week and return to activity can be expected as early as six weeks. Procedures that require bone work (osteotomies) require a period of relative immobilization and need 10 to 12 weeks before a return to athletic activity is permitted.

• #1 Kneecap dislocation, patella instability and knee weakness

  https://www.dcknee.com/kneecap-dislocation/

  A kneecap dislocation can be a frightening and painful experience. […] However, we have made considerable advances in the treatment of this condition in recent years. […] Literature tells us that after the first dislocation there is approximately a 50% chance of a further dislocation. […] Although it does not always change the course of this condition it can accelerate rehabilitation. In some cases, the benefit of physiotherapy can be very significant. […] Yes, there have been radical changes in recent years. The treatment now aims to correct the underlying anatomic problem rather than introducing a new abnormality. These include: […] Kneecap dislocation increases the risk of knee arthritis pain occurring in the future. […] There is a 50% chance of further dislocation after suffering the first kneecap dislocation.

• #1 Surgery and non-surgical treatments for chronic knee cap dislocation and patella instability –

  https://caringmedical.com/prolotherapy-news/patellofemoral-instability-pain/

  Your doctor may recommend surgery to repair or reconstruct the medial patellofemoral ligament. He/she will refer to it as your MPFL. […] The points to consider here that will be documented in the research below: […] The ligament can only be repaired in a partial tear or rupture situation […] If the ligament suffers a total rupture/disintegration – then the surgery does not repair, but reconstruction. […] Surgical treatment of the MPFL for acute patellar dislocation is not superior to conservative non-surgical treatment in restoring knee function and clinical outcomes. […] Joint hypermobility is a risk factor for patellar instability. Identification of at-risk groups may aid prevention of dislocations and allow for appropriate treatment. […] Prolotherapy in the treatment of chondromalacia patella is associated with substantial gains in pain relief and functionality. As Prolotherapy is a simple, rapid, and low-morbidity option for use in the outpatient setting, it can be considered first-line conservative therapy for chondromalacia patella.

• #1 Patellar Dislocation (Kneecap Dislocation) | Lurie Children’s

  https://www.luriechildrens.org/en/specialties-conditions/patellar-dislocation-kneecap-dislocation/

  Most people with patellar dislocations can return to sports after a supervised, stepwise rehabilitation program. A physician should assess strength and balance to determine when it is safe to return to sports. Use of a brace with sports is recommended for individuals following a patellar dislocation. […] Young athletes who have experienced a patellar dislocation in the past should maintain their core, hip and leg strength and consider use a brace to lessen the chances another dislocation.

• #1 Patella Dislocation: It’s More Common Than You Think — Physio Network

  https://www.physio-network.com/blog/the-dislocated-kneecap-it-is-more-common-than-you-think/

  Surgery for patella or kneecap dislocations can be tricky. […] Most people who have had only one dislocation and do not have any cartilage damage do not need surgery. […] If you have a repairable cartilage injury then we will likely suggest surgery to repair the cartilage, and repair the MPFL ligament at the same time. […] In order to restore stability to your kneecap we need to consider an MPFL reconstruction. […] After your MPFL surgery you will need time to allow for the pain and swelling to diminish. […] If you have had more than one kneecap dislocation then you will need to consider surgery to repair or reconstruct the MPFL (medial patellofemoral ligament) in order to minimize the risk of another dislocation.

• #1 Kneecap dislocation – aftercare: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000585.htm

  Your kneecap (patella) sits over the front of your knee joint. As you bend or straighten your knee, the underside of your kneecap glides over a groove in the bones that make up your knee joint. […] When a kneecap slides partway out of the groove it is called a subluxation. […] When a kneecap moves fully out of the groove it is called a dislocation. […] Kneecap subluxation or dislocation may occur more than once. The first few times it happens will be painful, and you will be unable to walk. […] If subluxations continue to occur and are not treated, you may feel less pain when they happen. However, there may be more damage to your knee joint each time it happens. […] You may need physical therapy to work on strengthening and conditioning. […] If your kneecap is damaged or unstable, you may need surgery to repair or stabilize it. Your health care provider will most often refer you to an orthopedic surgeon.

• #1 Dislocated Kneecap | Boston Children’s Hospital

  https://www.childrenshospital.org/conditions/dislocated-kneecap

  How is a dislocated kneecap treated? Specific treatment for a kneecap dislocation will be determined by your child’s physician based on: […] A dislocated kneecap may go back to its proper place on its own, but if it doesn’t, your child’s physician will need to gently push the kneecap back into its groove. Your child will receive sedation to remain comfortable and help the muscles around the dislocated joint relax so the joint can be put back into place more easily. […] If the kneecap is only partially dislocated, the doctor may recommend non-surgical treatment. These include exercises to strengthen the muscles in the thighs that help keep kneecap aligned. A knee brace will immobilize the dislocated area to promote alignment and healing. […] A dislocation can damage the underside of the kneecap and the end of the thighbone, which can lead to additional pain and arthritis. Arthroscopic surgery can correct this condition. […] If your child’s knee continues to be unstable, their doctor may recommend a surgical procedure to realign and tighten certain tendons that help keep the kneecap on track or release tissues that pull the kneecap off track.

• #1 Diagnosis and treatment for kneecap patella dislocation

  https://os.clinic/conditions/knee/kneecap-patella-dislocation/

  A dislocated kneecap will be quickly put back into position (referred to as reduction) by the consultant. This may need to be performed under local or general anaesthetic. Once the kneecap has been put back into place, you will need to rest the knee and use ice, compression and elevation to control swelling. You will normally need crutches or a knee brace while your knee is healing. Patients are generally offered physiotherapy to help them to strengthen the muscles and regain movement in the knee. […] If you experience recurrent kneecap dislocation, you may be offered surgery to tighten the muscles or reconstruct the inside ligaments. In rare circumstances you may need to have the bone cut and repositioned. […] Some surgeons are starting to recommend preventative surgery to repair the medial patellofemoral ligament (MPFL) after the first kneecap dislocation. This is because repeated dislocations can damage cartilage, leading to an increased risk of arthritis.

• #1 Dislocated Kneecap: Treatment Options and Injury Prevention | Mass General Brigham

  https://www.massgeneralbrigham.org/en/about/newsroom/articles/dislocated-kneecap-treatment-options-and-injury-prevention

  Kneecap dislocations can be a very limiting condition, particularly for athletes, says Miho J. Tanaka, MD, a Mass General Brigham Sports Medicine orthopaedic surgeon and director of the Women’s Sports Medicine Program at Massachusetts General Hospital. […] Dr. Tanaka recommends getting off your feet and applying the RICE method rest, ice, compression (wrapping it with a bandage) and elevation. And then its important to see your health care provider, who can and assess the extent of injury and safely realign the kneecap if it remains out of place. […] An important focus of treatment is the prevention of future dislocations. Once your sports medicine physician confirms that there arent any injuries to other parts of your knee, they may recommend conservative management. This typically means using a specially designed knee brace to help support your kneecap and physical therapy (PT).

• #1 Guide | Physical Therapy Guide to Patellar Instability | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-patellar-instability

  Once your pain eases and your strength improves, you will need to safely transition into more demanding activities. […] Physical therapy promotes recovery by addressing factors that you can modify. […] If patellar instability remains untreated, pain will persist and may worsen, resulting in long-term difficulty. […] Surgery may be needed for a serious tear of the medial patellofemoral ligament. […] After surgery, you will receive physical therapy to: […] Your physical therapist will then help you reintroduce more challenging movements while avoiding overstraining your knee. […] Not all cases of patellar instability can be prevented. However, the best ways to prevent the condition are to: […] Physical therapy can reduce your risk of reinjury and help you return to your regular activities. […] You may want to consider:

• #1 Dislocated Kneecap (Patella Dislocation): Symptoms & Recovery

  https://my.clevelandclinic.org/health/diseases/21633-patellar-dislocations

  Your provider will gently push your kneecap back into place using a procedure called closed reduction. You may receive a minor pain reliever or sedative. […] Youll wear a brace or splint for a few weeks to stabilize your kneecap. Your provider will probably recommend crutches to keep weight off your knee. […] If theres significant damage to the bone or cartilage and tendons of your knee, or youve had more than one dislocation, your provider may recommend surgery to repair it. […] Physical therapy is very important to restrengthen your muscles while limiting your range of motion until your joint restabilizes. […] If you think you may have dislocated your kneecap, you should see your provider. […] A dislocated patella can be a scary and painful injury. You may be able to pop your kneecap back into place yourself, but you should still see your healthcare provider for treatment. At a minimum, your provider will recommend that you rest your knee and get physical therapy to strengthen your muscles, tendons and ligaments. More serious injuries may require surgery and extended rehabilitation. With time, youll be back on your feet.

• #1 Dislocated kneecap: Symptoms, treatments, recovery, and more

  https://www.medicalnewstoday.com/articles/dislocated-kneecap

  It is uncommon to need surgery after a first-time dislocation of the kneecap, but surgery may be necessary if the injury is severe or there is a high risk of repeat dislocations. […] Regular strength training and physical therapy may help prevent reinjury, in some cases. […] Doctors also usually recommend physical therapy to help regain the range of motion and strengthen the muscles that support the knee. This also helps to reduce the likelihood of recurrent dislocation. […] A person who has undergone surgery may take 6 months or longer to resume their regular sports or exercise routine. […] Discuss all treatment options and their long-term effects with a doctor.

• #2 What Is Knee Dislocation?

  https://www.webmd.com/pain-management/knee-pain/knee-dislocation

  Your treatment will depend on how badly you’ve been injured. […] If the damage to your knee isn’t too severe, your doctor may try to pop your bone back into place by pressing and moving your leg in certain ways. This will be very painful, probably. Your doctor will offer to give you medicine so that you won’t feel what’s happening. After your bone is back in the joint, you’ll likely need to wear a splint for a few weeks to allow your knee to heal without moving or bearing any weight. […] Your doctor may need to do surgery to correct the dislocation and other damage from your injury, including: Broken bones, Torn ligaments, Damaged nerves, Damaged blood vessels. […] You might not have surgery until 1 to 3 weeks after you’re hurt, to allow time for the swelling to go down. While you wait, you’ll need to wear a splint, keep your leg raised, and put ice on the injury.

• #2 Azthena logo with the word Azthena

  https://www.news-medical.net/health/Kneecap-Dislocation.aspx

  The symptoms followed by a physical examination will usually be sufficient to make the diagnosis. A knee X-ray and MRI if required will exclude any fracture or articular trauma, bone bruising during reduction of the dislocation, and tears of the anterior cruciate ligament in the knee joint. These tears should always be excluded as they occur in the same type of situations and are more commonly seen than patellar dislocations. […] Once the diagnosis is clear, the dislocation is reduced. Knee immobilization will keep the patella in position until the ligaments heal, usually for about 3 weeks. During this time, weight bearing is not advised. […] Physical therapy is important after the cast is removed, to build up muscle strength and range of motion at the joint. The patient is typically able to resume normal activity in about 3-6 weeks, depending on age, health, and severity of the injury. […] Arthroscopic or sometimes open repair may be done if the bone or cartilage is damaged or there is persistent instability at the kneecap. Congenital abnormalities of the bones should also be corrected to prevent recurrences.

• #2 Dislocated kneecap: Symptoms, treatments, recovery, and more

  https://www.medicalnewstoday.com/articles/dislocated-kneecap

  Kneecap dislocation occurs when the patella bone, which sits at the front of the knee, comes out of position. […] Research suggests that a first-time dislocation of the kneecap can take at least 6 weeks to heal. The right treatment for a dislocated knee depends on the type and severity of the injury and whether the bone, cartilage, and other surrounding tissues have been damaged. […] Common nonsurgical options include: physical therapy, RICE therapy, which involves resting the knee to prevent further injury, applying ice packs to reduce inflammation and pain, using a compression bandage to ease swelling and provide support, elevating the knee to reduce swelling, nonsteroidal anti-inflammatory drugs, such as ibuprofen or aspirin, to reduce inflammation and pain, crutches or a cane to take weight off the knee and aid mobility, a brace to support the knee and stabilize the kneecap, shoe inserts, called orthotics, to reduce stress on the knee, aspiration, a simple clinical procedure to remove any excess fluid in the joint.

• #2 Treatment of Dislocated Kneecaps

  https://www.sports-health.com/sports-injuries/knee-injuries/treatment-dislocated-kneecaps

  Treatment of a dislocated knee will vary depending upon the severity of the injury. […] The vast majority of dislocated kneecaps can be treated nonsurgically, though some extreme cases may require surgical intervention. In most cases, several nonsurgical treatment options will be attempted before considering surgery to realign the kneecap. Common nonsurgical treatments for a dislocated patella may include: […] Pain medication. Non-steroidal anti inflammatory medications, such as ibuprofen or naproxen may be recommended or prescribed to address both the pain and inflammation. […] RICE. As a first response treatment to injury, an athlete will be advised to rest, ice, compress and elevate his or her kneecap. […] Reduction. Sometimes the kneecap will move back into place on its own as the leg in moved. If it hasn’t done this, a physician may try to move the kneecap manually while the leg is gradually flexed until it’s straight.

• #2 Patellar Subluxation: Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/patellar-subluxation

  A subluxated patella can be very painful and make it uncomfortable to walk. […] Even if your patella slides back into place, you should see your healthcare provider for treatment. […] Your healthcare provider may want to try conservative (nonsurgical) methods, especially if this is your first subluxation. Nonsurgical patellar subluxation treatment options include: RICE method. Rest, ice, compression and elevation. NSAIDs. Nonsteroidal anti-inflammatory drugs, like ibuprofen (Advil). Immobilization. A knee brace or cast to keep your knee immobilized, depending on the severity of the injury. Walking/mobility aids. Crutches, a cane or a walker to keep weight off your knee, or the use of a functional knee brace, like a J-brace or patella-stabilizing sleeve. Orthotics. Special shoes to reduce pressure on your patella. Physical therapy. To help stretch and strengthen the muscles surrounding your knee and improve balance (proprioception).

• #2 Treatment of Dislocated Kneecaps

  https://www.sports-health.com/sports-injuries/knee-injuries/treatment-dislocated-kneecaps

  Joint aspiration. If large amounts of excess fluid are present in the knee joint, a doctor may aspirate the joint by using a syringe to remove this fluid. […] Immobilization. In order to prevent the kneecap from being re-dislocated or injured, the athletes leg may be placed in an immobilizing cast or brace for a period of time. […] Crutches. An athlete may also use crutches to reduce pressure on the knee joint and patella. […] Physical therapy. An array of stretches and exercise may be prescribed for a predetermined period after treatment in order to strengthen the kneecap and knee joint as a whole. […] Braces. A physician may advise that a patient wear protective braces on the knee when resuming athletic competition. […] In cases of extreme dislocation, surgery may be required to move the kneecap back into place or repair any damaged cartilage, ligaments or tendons in the knee joint.

• #2 Patellar Injury and Dislocation Treatment & Management: Acute Phase, Recovery Phase, Maintenance Phase

  https://emedicine.medscape.com/article/90068-treatment

  During the acute phase of a patellar injury or dislocation, the immediate goals are to reduce inflammation, relieve pain, and stop activities that place excessive loads on the patellofemoral joint. […] Acute phase management should apply the PRICE principle: protection of the injured joint, relative rest, ice, compression, and elevation to control inflammation. […] A study by Maenpaa and Lehto suggested that a period of immobilization may be beneficial. […] Quadriceps strengthening is initiated during the acute phase. […] Therapy should also include a protocol for hamstring muscle stretching. […] In the acute phase, surgical interventions are reserved for complicated dislocations with associated fractures. […] If conservative management is not effective and the patient still experiences symptoms, consult an orthopedic surgeon.

• #2 Kneecap (Patellar) Dislocation | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/k/kneecap-patellar-dislocation.html

  Treatment of the unstable patella is first to ensure that the patella is not dislocated. If it is, your doctor will need to properly 'reduce,’ or reorient, the position of the kneecap. […] Early treatment includes: […] Physical Therapy with an emphasis on strengthening the quadriceps (the muscles of the thigh) […] Bracing and taping – Special knee braces are designed to control how the kneecap moves. […] Surgery – Some patients may need surgery, especially if they have a lot of pain or repeated dislocations. […] If repeated dislocations occur, a surgical realignment of the muscles and kneecap may be needed.

• #2 Dislocated kneecap: Learn More – Dislocated kneecap: When is surgery recommended? – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK561508/

  Surgery is supposed to stabilize the knee and lower the risk of the kneecap becoming dislocated again. It is considered after a second kneecap dislocation or if the knee is very unstable. […] Conservative treatment: The kneecap is stabilized for a few weeks using a brace or bandage. Physical therapy is started at the same time, with the goal of strengthening the muscles that support the kneecap. […] Surgery: Doctors operate on the knee to stabilize the kneecap. During the surgery, cartilage or bone injuries may be treated or misalignments might be corrected as well. Physical therapy is started after surgery too. […] Experts often disagree on the issue of whether surgery should be done. Conservative treatment is typically used if it’s the first time you have dislocated your kneecap. If it happens a second time or if it keeps happening, surgery is usually considered.

• #2 Knee Dislocation Surgery | Patellar Instability Treatment | The Knee Clinic

  https://www.thekneeclinicmanchester.com/treatments/patellofemoral-instability-dislocation-treatment

  Treatment for patellar instability (PI) depends on the severity of the condition and the underlying cause. Non-surgical treatment options may include: Physical therapy: A physical therapist can teach you exercises to improve the strength and flexibility of the muscles around your knee, which can help stabilize your patella. Bracing: Wearing a knee brace can help support your patella and keep it from dislocating. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain. […] If non-surgical treatment options are not effective, surgery may be necessary to repair or reconstruct the ligaments or other structures around the patella. The specific surgical procedure used will depend on the specific cause of the PI. […] There are several surgical procedures that can be used to treat patellar instability (PI), including: Lateral release: This procedure involves cutting part of the lateral retinaculum (a thick band of tissue on the outside of the patella) to allow the patella to move more freely. MPFL reconstruction: The medial patellofemoral ligament (MPFL) is a ligament on the inner side of the patella that helps to stabilize it. If the MPFL is stretched or torn, it can be reconstructed using a piece of tissue from another area of the knee or using a synthetic graft. Tendon transfer: This procedure involves transferring a tendon from one part of the leg to the patella to help stabilize it. Osteotomy: This procedure involves cutting and repositioning the bone around the patella to improve its alignment.

• #2 Patellar Dislocation – Sydney Knee Specialists

  https://www.sydneyknee.com.au/knee-info/knee-conditions/patellar-dislocation/

  If patellar instability becomes a recurrent problem, corrective surgery may be recommended. This often requires a reconstruction of a ligament on the inner part of the patella called the “medial patellofemoral ligament”. […] This ligament helps hold the patella in the trochlear groove. One of your hamstring tendons (autograft) is used to do this. In conjunction with this, a “lateral release” may be required. This relieves tight structures on the outer aspect of the patella and helps patellar tracking in some patients. […] If there are severe abnormalities in tracking of the patella in the trochlear groove, your surgeon may also recommend a procedure called a “tibial tubercle osteotomy”. This involves moving a segment of bone at the lower front part of the knee where the patella tendon inserts. The aim is to allow the patella to track in a more central position. It may be combined with the two other procedures mentioned above.

• #2 Patella Dislocation and Instability | ACE Physical Therapy and Sports Medicine Institute

  https://ace-pt.org/patella-dislocation/

  If a sound therapeutic exercise routine does not provide dynamic control of the patella, the MPFL might have to be surgically repaired or reconstructed. […] Following surgery, a sound rehabilitation program designed by a Physical Therapist will help the patient to return to their pre-injury lifestyle.

• #2 Dislocated Kneecap (Dislocated Patella) (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/dislocated-kneecap.html

  To help your child heal as quickly as possible, follow the doctor’s advice about: which activities to avoid, which activities are OK (for example, swimming may be fine while your child heals), strengthening exercises, going to all follow-up doctor visits. […] Talk to your health care provider about ways to prevent a future dislocation, such as: stretching before and after sports, working to strengthen the leg muscles.

• #2 Surgery and non-surgical treatments for chronic knee cap dislocation and patella instability –

  https://caringmedical.com/prolotherapy-news/patellofemoral-instability-pain/

  General indications for surgery: […] Osteochondral injury with loose body […] Chronic instability […] Failure of nonsurgical treatment. […] The surgical options, which many of you may have already discussed with your orthopedic surgeon may include: […] Arthroscopic debridement with removal of loose bodies […] Putting the kneecap back in place and holding it there with screws and pins […] Medial patellofemoral ligament (MPFL) repair […] MPFL reconstruction with autograft versus allograft […] Osteotomy (bone reshaping). […] Many people get great benefits from conservative care and surgical repair of patella instability or chronic knee cap dislocations. For the majority, surgery can be very successful. […] Surgery for a completely disintegrated ligament occurs with acute injury and dislocation.

• #2 After 20 Years of Kneecap Dislocations, Back to Sports | HSS

  https://www.hss.edu/article_kneecap-dislocation.asp

  Adrianas original problem, called patellofemoral instability (a dislocating kneecap), would cause the kneecap to shift out of its groove. Every dislocation would further damage the cartilage in her knee. […] Because she never had the dislocations fixed, she eventually wore down the cartilage in her knees and developed arthritis early on, says Adrianas orthopedic surgeon, Beth Shubin Stein, MD, Co-Director of the Women’s Sports Medicine Center (WSMC) at HSS. […] The team of specialists at WSMC offers compassionate and comprehensive orthopedic care from surgery and physical therapy to sports psychology and nutrition to help female athletes of all ages and abilities resume or continue the activities they enjoy. […] Eventually, Adrianas knee pain became too much for even her to bear. […] Adriana sought out a local orthopedic specialist who began treating her with a series of injections of a synthetic substance called hyaluronic acid, which mirrors the normal cartilage fluid in the knee and is used to lubricate the joint.

• #2 Dislocated kneecap: Symptoms, treatments, recovery, and more

  https://www.medicalnewstoday.com/articles/dislocated-kneecap

  It is uncommon to need surgery after a first-time dislocation of the kneecap, but surgery may be necessary if the injury is severe or there is a high risk of repeat dislocations. […] Regular strength training and physical therapy may help prevent reinjury, in some cases. […] Doctors also usually recommend physical therapy to help regain the range of motion and strengthen the muscles that support the knee. This also helps to reduce the likelihood of recurrent dislocation. […] A person who has undergone surgery may take 6 months or longer to resume their regular sports or exercise routine. […] Discuss all treatment options and their long-term effects with a doctor.

• #2 What Is Knee Dislocation?

  https://www.webmd.com/pain-management/knee-pain/knee-dislocation

  Your surgeon may do arthroscopic knee surgery. This is done through small cuts made around your knee. […] You might need open surgery, with bigger cuts. The type you need depends on the damage to the rest of your knee. […] After surgery, you may wear different knee braces as you heal. Some let you bend your knee — to ease stiffness. […] After you’re finished wearing splints or braces, your doctor should send you to a physical therapist to rehab your knee. You’ll do exercises to strengthen the leg muscles around your knee and work to bring a full range of motion back to your joint. […] Your recovery will depend on how serious your injury is and whether you had damage to your blood vessels and nerves. If you got treatment quickly, you will likely heal well. Recovery from a knee dislocation can take a long time. You may need to rehab your knee for up to a year. You’ll recover faster if you stick to your doctor’s advice. Athletes who dislocate their knees may be able to return to their sports, but they might not be able to perform at the same level as before.

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