Patella Pain/subluxation
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
- Quadriceps strengthening exercises
- Hip abductor and external rotator strengthening
- 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
| Question | Answer |
|---|---|
| Can 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