Need to Know: Patellar Dislocation

This month, we are switching gears to focus on joint dislocations, their subsequent relocation procedures, and related complications. The first relocation technique, for treating a patellar dislocation, is a fast, uncomplicated procedure that every ED provider should be able to perform without the need for an immediate orthopedic consultation.   The procedure itself is not challenging, but pain management and related injuries can be troublesome for some patients. The concern for additional injuries such as patella fracture, quadriceps tendon rupture, meniscal or ligamentous tears, and distal femur and proximal tibial fractures should be on your radar.   The bottom line: traumatic knee injuries, especially those with a high suspicion of patella dislocation, should be imaged!   Anatomical Chart Company, 2008.   Keep in mind, a patellar dislocation typically occurs when the patella moves laterally. It is quite obvious at first glance. We’d probably even call it a “duh” injury, as in, “Duh, I can see it’s obviously not right.”   Patellar dislocations may occur frequently in the pediatric patient population, and are often a recurrent injury at any age. They also are occasionally reduced in the field, and patients arrive at the ED stating that it feels better.   But don’t let that fool you. All known patellar dislocations with successive relocation (spontaneous or procedural) should receive post-reduction films. Close follow-up with an orthopedist and a physica...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs