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Patella Pain/Subluxation

Patella Pain/Subluxation

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What is Patella Pain/Subluxation?

Patella pain/subluxation refers to pain around the kneecap often associated with the patella shifting out of place, causing discomfort and instability.

  • Kneecap instability
  • Localized pain around the patella

Overview of the Condition

This condition is common in young athletes and may result from muscle imbalances or traumatic injury.

Symptoms

  • Pain around or under the kneecap
  • Sensation of the patella slipping out of place
  • Swelling and tenderness

Causes

Causes include muscle imbalances, ligament laxity, traumatic injury, or anatomical variations in the patellofemoral joint.

Diagnosis

Diagnosis is based on clinical examination, patellar tracking evaluation, and imaging studies if necessary.

Treatment Options

  • Physical therapy to strengthen the quadriceps and hip muscles
  • Patellar bracing or taping
  • Surgical realignment in severe cases

Conservative Management

Non-surgical management includes activity modification, physical therapy, and use of patellar stabilizing braces.

Rehabilitation Exercises

  1. Quadriceps strengthening exercises
  2. Hip abductor and external rotator strengthening
  3. Patellar tracking exercises

Surgical Options

Surgery may be indicated for recurrent patellar subluxation or severe maltracking that does not respond to conservative treatment.

Anatomy Overview

The patella is a sesamoid bone embedded within the quadriceps tendon, playing a crucial role in knee extension.

Affected Areas

  • Patellofemoral joint
  • Surrounding soft tissues and ligaments

Frequently Asked Questions

QuestionAnswerCan patellar subluxation resolve on its own?Many cases improve with conservative management and physical therapy.What symptoms indicate the need for surgery?Persistent instability and pain despite non-surgical treatments may require surgical intervention.

Prevention Strategies

  • Strengthen the quadriceps and hip muscles
  • Maintain proper lower extremity alignment
  • Use patellar bracing during high-risk activities

Related Conditions

  • Chondromalacia patella
  • Patellofemoral pain syndrome

Additional Treatments

Orthotics and activity modifications may also be beneficial.

A Quick, Clear First Step Toward Joint Pain Relief

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