Dr. Vaishali Suri (P.T.)
Patella Dislocation: Kneecap Out of Position
Patellar dislocation occurs when the kneecap (patella) completely displaces from its groove in the femur (trochlea), almost always in a lateral direction. It causes acute pain, giving way, and visible deformity (in complete dislocation). Recurrence rates without rehabilitation are high -- approximately 15-44% of patients have a second dislocation.
Risk Factors for Patella Dislocation
Trochlear dysplasia (shallow groove), patella alta (high-riding kneecap), generalised hypermobility, weak VMO (vastus medialis oblique), hip abductor weakness causing dynamic knee valgus, and flat feet (causing tibial internal rotation).
Post-Dislocation Rehabilitation
Acute Phase (Week 0-3)
Immobilisation brace at 0-20 degrees flexion, crutches, ice and compression to reduce swelling. Gentle quad sets and straight-leg raises in the brace.
Early Rehabilitation (Weeks 3-6)
Brace weaned. Progressive range of motion -- avoiding deep flexion initially. Quadriceps strengthening beginning with closed-chain exercises (mini-squats, leg press).
Strengthening Phase (Weeks 6-12)
Progressive quadriceps strengthening emphasising VMO activation (terminal knee extension, shallow-angle squats). Hip abductor and external rotator strengthening to control dynamic valgus. Patellar taping or bracing during exercise.
Return to Sport (Weeks 12+)
Agility training, sport-specific movements, and criteria-based return requiring adequate quad strength and pain-free performance.
Patella Dislocation Rehab in Faridabad
At Realign Rehab Clinic, NIT-5, Faridabad, we provide comprehensive patellar dislocation rehabilitation. Book your knee assessment today.