Reduction of a Dislocated Patella Nonoperative treatment is usually recommended. Forceful manipulation is not needed and should be avoided. Post reduction films should be obtained to confirm the position of the patella and to exclude the presence of an osteochondral fracture. A posterior knee splint or knee immobilizer should be placed for 4 to 6 weeks and an orthopedic referral is recommended. Rehabilitation should be initiated as soon as possible, starting with straight leg raises to minimize quadriceps atrophy.
Surgical repair is considered in patients at risk for recurrent dislocation.
Describe the quality of acute knee pain and the location. Any previous knee injury or pain should be documented. Examination begins with inspection for asymmetry, knee effusion, atrophy and congenital anomalies. Palpate the knee to assess areas of tenderness and crepitance. Muscle strength, joint range of motion and gait should also be evaluated.