Kneecap Dislocation or Instability | Dr. Daniel A. Romanelli, M.D

Kneecap Dislocation

Kneecap dislocation (patellar dislocation) occurs when the patella shifts out of its groove, often due to trauma or loose ligaments. Recurrent dislocations can lead to patellar instability, causing ongoing pain and dysfunction.

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To diagnose a kneecap dislocation or instability, Dr. Romanelli will perform a physical exam to assess knee alignment, range of motion, and stability. Imaging tests like X-rays or MRI may be recommended to evaluate any damage to the surrounding ligaments or cartilage and to determine the severity of the dislocation.
Treatment for kneecap dislocation or instability depends on the severity of the dislocation and the underlying causes. In some cases, the kneecap can be manually repositioned (reduced) without surgery. However, for individuals with chronic instability or ligament damage, surgical intervention may be necessary.
For mild dislocations or those experiencing occasional instability, non-surgical treatments may be effective. These include:

Rest and Ice: Reducing activity and applying ice to manage swelling and pain.

Bracing: A knee brace may be used to help stabilize the kneecap and prevent further dislocations.

Physical Therapy: Exercises aimed at strengthening the quadriceps and improving the alignment and stability of the kneecap can be highly effective in preventing future dislocations.
In cases where the kneecap continues to dislocate or if there is significant ligament damage, surgery may be required. Medial Patellofemoral Ligament (MPFL) Reconstruction is a common surgical procedure used to restore stability to the kneecap. The MPFL, a ligament that helps hold the kneecap in place, is reconstructed using a tendon graft from the patient’s body or from a donor. This procedure significantly reduces the likelihood of future dislocations and improves knee function.
Rehabilitation through physical therapy is crucial for a full recovery following kneecap dislocation, whether treated surgically or non-surgically. Physical therapy focuses on strengthening the muscles around the knee, particularly the quadriceps, to support the kneecap and restore stability. Dr. Romanelli works closely with physical therapists to create a personalized rehabilitation plan to ensure a smooth recovery and prevent future instability.

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Dr. Daniel A. Romanelli

Your knees provide the range of motion you need for everyday activities—from reaching and lifting to throwing and rotating. When shoulder pain or injury limits your movement, it can affect your entire lifestyle. Dr. Romanelli specializes in diagnosing and treating shoulder conditions, helping you return to full mobility with personalized, effective care.

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