Your kneecap dislocates when the patella, which rests at the front of the knee, dislodges. As a result, the connective tissue securing the bone may extend overly and eventually tear. A dislocated kneecap is an injury that occurs when you suddenly move in another direction from a standing position with your feet flat on the ground. After sustaining a kneecap dislocation for the first time, research suggests it takes approximately six weeks to recover completely.
Signs of a dislocated kneecap include:
As soon as your kneecap dislodges, the appearance of the knee’s structure changes completely. Afterwards, you experience knee pain and stiffness in the knee, making it impossible to move your leg.
A dislocated kneecap necessitates medical care immediately. Apply ice over the area and seek medical attention. However, you still need to consult with Dr Gupta even when your kneecap moves back in place. He needs to examine the internal structure of the knee to check for any signs of damage and to ensure all structures are appropriately aligned. This inspection is completed by means of an x-ray & or an MRI scan.
Dr Gupta treats a dislocated kneecap less invasively by implementing arthroscopic surgery, whereby he guides an arthroscope through tiny incisions over the skin of the knee. Then, using miniaturised surgical tools, he evaluates the damage done to cartilage and bone and makes the necessary repairs or reconstruction of the torn soft tissues as required, including the medial patellofemoral ligament.
Non-surgical treatments for minor injuries include physiotherapy, RICE (rest, ice, compression and elevation), prescription of non-steroidal anti-inflammatories, knee bracing, orthotics and a walking aid. In addition, undergoing regular strength training and physical therapy reduces the risk of recurrence.
The injury can take six weeks to heal with medical intervention. A dislocation can occur due to a sudden twist or blow to the knee.
You cannot walk with a dislocated kneecap because the knee will lock suddenly, unable to straighten on its own. As soon as you bear weight on the joint, it buckles under pressure.
Yes, the brace acts as an immobiliser while the knee heals.
Dr Harish Gupta completed his degree in orthopaedics at the University of Witwatersrand. He subsequently completed his fellowship before working as a consultant at the same establishment and its group of hospitals.