Conversation: The conversation between human and AI assistant.
[|Human|] Hey When I am standing, my right knee cap points slight inwards. I had a fall on the ice a year or so ago and it popped, and now it swells up, mostly when it gets really cold. Is this a strained ligament that may require surgery or would quad strength training be effective?
[|AI|]  Hello, I have studied your case, and It can be MPFL ligament injury. In this there is break in the ligament which keep patella in central position. To treat this you need to get MRI test to confirm if there is any ligament tear and if yes then what is the extent of the tear. If it is grade 3 or more, and you are having symptoms and cartilage damaged due to that then you will need surgery to repair this ligament. If there is no ligament tear then it can be treated with knee brace and physiotherapy. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks