Dislocation
Dear Dr.
Yeh,
Last month, while I was lying on my bed reading, I accidentally dislocated my left patella during a turning motion.
Earlier this year, I collided with someone and fell to my left knee.
Although the external injury has healed, I still feel slight pain in the internal area of my knee when kneeling six months later.
I am wondering if the recent dislocation is related to the injury from earlier this year.
Additionally, since the patella has been relocated and I am able to walk without any issues, but I do experience some soreness after standing for a long time, does this indicate that there should be no major problems?
Lastly, how should I care for and rehabilitate my knee after the dislocation? Could you please send me the information via email? Thank you!
I look forward to your response.
Best regards,
Xiao Mei
10.16
Xiao Mei, 30~39 year old female. Ask Date: 2000/10/16
Dr. Ye Qingnian reply Orthopedics
The act of turning over generally does not cause patellar dislocation.
It is unclear whether an X-ray was taken at an orthopedic clinic or if only a chiropractor assessed the situation.
If a chiropractor made the diagnosis, it is often inaccurate; a correct diagnosis must be confirmed with an X-ray.
You previously injured your left knee when it hit the ground, which could lead to patellar periostitis.
Taking pain relievers is sufficient, but if ineffective, you should seek outpatient treatment for local injection therapy.
Additionally, women often experience patellar chondromalacia, which can cause symptoms such as pain and weakness when going down stairs, requiring rehabilitation treatment.
I have orthopedic outpatient clinics on Monday, Wednesday, and Friday mornings; please come to our clinic for an accurate diagnosis and treatment.
Reply Date: 2000/10/16
More Info
Knee dislocation is a serious injury that can occur due to various reasons, including trauma, falls, or even sudden movements, as you experienced while reading in bed. It is essential to understand the causes, recovery process, and care tips to ensure proper healing and prevent future injuries.
Causes of Knee Dislocation:
Knee dislocations can result from high-impact activities such as sports injuries, car accidents, or falls. They can also occur from less severe incidents, particularly in individuals with pre-existing knee instability or previous injuries, such as the one you mentioned from earlier this year. The knee joint is stabilized by ligaments, and any damage to these structures can increase the risk of dislocation. In your case, the previous injury may have weakened the knee's stability, making it more susceptible to dislocation during the recent incident.
Recovery Process:
After a knee dislocation, the immediate goal is to reduce the dislocation, which involves repositioning the patella (kneecap) back into its proper place. Once this is accomplished, the recovery process typically includes rest, ice application, compression, and elevation (RICE) to manage swelling and pain. It is crucial to follow up with a healthcare provider for a thorough evaluation, including imaging studies like X-rays or MRIs, to assess for any associated injuries to ligaments, cartilage, or bones.
In your case, since you mentioned that you have been able to walk without significant issues and only experience mild discomfort after standing for extended periods, this is a positive sign. However, it is essential to monitor your symptoms closely. If you notice increased pain, swelling, or instability, it would be wise to seek medical attention.
Care Tips:
1. Rest and Ice: Allow your knee to rest, especially after activities that exacerbate pain. Ice the area for 15-20 minutes every few hours to reduce swelling.
2. Compression and Elevation: Use a compression bandage to help control swelling and elevate your leg when resting to minimize fluid accumulation.
3. Physical Therapy: Once the initial pain and swelling have subsided, consider engaging in physical therapy. A physical therapist can guide you through exercises to strengthen the muscles around the knee, improve stability, and restore range of motion.
4. Knee Brace: Depending on the severity of your injury and your doctor's advice, wearing a knee brace may provide additional support during recovery. However, if wearing a brace causes discomfort, consult your healthcare provider for alternatives.
5. Gradual Return to Activity: As you recover, gradually reintroduce activities. Start with low-impact exercises and avoid high-impact sports until you have regained strength and stability in your knee.
6. Monitor Symptoms: Keep track of any changes in your knee's condition. If you experience increased pain, swelling, or instability, seek medical advice promptly.
7. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor your recovery and address any concerns that may arise.
In conclusion, while your current symptoms may not indicate a severe problem, it is crucial to remain vigilant and proactive in your care. If you have any further questions or need additional information, feel free to reach out via email, and I will be happy to assist you. Take care, and I wish you a smooth recovery!
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