I need some advice on patella dislocation. I have a 32 yr old female with hx of knee injury in 1992. She did not recall any ligament problem at that time. She did recall her knee swelling in a short time after injury. She said she was dancing and twisted it. She has had trouble with it since this injury. She recently has had increase pain in R knee. She states that it is difficult to bear full weight. She says her knee feels as though it slips. She had recent Xray with no fx, but no current Wikipedia reference-linkMRI. I performed lateral glide of patella with positive apprehension. she said when walking she feels as though pain is on lateral knee, but with examination she has severe medial tenderness and immediate apprehension with patella movement. Patient has 3-/5 quad strength and lag with SLR. Patient does state popping currently with walking and ascending >descending stairs.I would like more advice on other tests I might need to perform and exercises. I performed Lachmen's and anterior drawer test (no obvious laxity)for ACL but hard to assess secondary to patient leg girth and pain. My first initial thought on treatment is to perform assisted SLR, Quad set, LAQ, tapping for proper patella alignment and heel slide. I also would like to perform ER SLR for VMO but she is not to this stage yet. Any lower level VMO exercises would be beneficial. Estim, IFC with ice. Any advice would be appreciated.
Thanks

Similar Threads: