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Spontaneous superior patellar dislocation in young age: case report and reduction technique
Noman Jahangir1, Muhammad Umar2
1Department of Orthopaedics, Central Manchester University Hospital for Children, Oxford Road, Manchester M13 9WL, UK.
Journal of Surgical Case Reports
|May 2, 2017
Summary
Superior patellar dislocation is a rare condition in middle-aged adults. This case report details a spontaneous dislocation in a 30-year-old, highlighting diagnostic and treatment strategies.
Area of Science:
- Orthopedics
- Traumatology
- Radiology
Background:
- Superior patellar dislocation is an exceptionally rare knee injury.
- It typically affects middle-aged individuals, presenting diagnostic challenges.
- Differentiating from patellar tendon rupture is crucial.
Observation:
- A case of spontaneous superior patellar dislocation in a 30-year-old patient is presented.
- Clinical examination and radiographic imaging were used to exclude patellar tendon rupture.
- The patient underwent reduction maneuvers with intra-articular local anesthetic for hydrodilatation.
Findings:
- Successful reduction was achieved using hydrodilatation with local anesthetic.
- Knee splinting in gentle flexion was recommended under general anesthesia.
- Surgical intervention is indicated for recurrent dislocations or associated osteochondral fractures.
Implications:
- This case underscores the importance of considering superior patellar dislocation in the differential diagnosis of acute knee injuries.
- Effective management involves accurate diagnosis, appropriate reduction techniques, and tailored post-reduction care.
- Early surgical consideration for specific complications can improve patient outcomes.
