Novel Technique for Closed Reduction of an Irreducible Patella Dislocation in a Degenerative Knee

Patellar dislocations commonly occur in young adults and often reduce spontaneously or with closed reduction in the emergency department. However, traumatic patellar dislocations in older adults pose unique challenges, often complicated by degenerative osteophytes that hinder standard closed reduction methods. When closed reduction proves ineffective, patients may necessitate arthroscopic or open surgical intervention. This case report details the experience of a 60-year-old man with a traumatic patellar dislocation resistant to standard closed reduction methods, attributed to impaction of the patella against a lateral femoral condyle osteophyte. We present a novel technique for addressing irreducible patellar dislocations through closed reduction, which has yet to be documented in existing literature.

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Publication Details

Journal
JAAOS Global Research and Reviews
Published
2024-10-01
DOI
https://doi.org/10.5435/jaaosglobal-d-24-00156
Primary Topic
Lower Extremity Biomechanics and Pathologies
Type
article
Field-Weighted Citation Impact
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article

Novel Technique for Closed Reduction of an Irreducible Patella Dislocation in a Degenerative Knee

Dylan Shafer, Mary Ragsdale, Brian Kwan, Brandon Flaig
JAAOS Global Research and Reviews
Lower Extremity Biomechanics and Pathologies
article

Novel Technique for Closed Reduction of an Irreducible Patella Dislocation in a Degenerative Knee

Dylan Shafer, Mary Ragsdale, Brian Kwan, Brandon Flaig
article en

Abstract

Patellar dislocations commonly occur in young adults and often reduce spontaneously or with closed reduction in the emergency department. However, traumatic patellar dislocations in older adults pose unique challenges, often complicated by degenerative osteophytes that hinder standard closed reduction methods. When closed reduction proves ineffective, patients may necessitate arthroscopic or open surgical intervention. This case report details the experience of a 60-year-old man with a traumatic patellar dislocation resistant to standard closed reduction methods, attributed to impaction of the patella against a lateral femoral condyle osteophyte. We present a novel technique for addressing irreducible patellar dislocations through closed reduction, which has yet to be documented in existing literature.

JAAOS Global Research and ReviewsVol. 8(10)
Hispanics in Philanthropy (US), Ventura County Medical Center (US), Information Today (United States) (US)
Good health and well-being
Openalex Percentile: Top 84%
Lower Extremity Biomechanics and Pathologies
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