Do you play Soccer, gymnastics, athletics, ice hockey or any other similar sports ? If yes do you know that you may be at risk of Patellar Sub-luxation? Do You know what that is and how you can avoid it? Actually The pa-tella (Knee Cap) wobbles out of the pa-tello-femoral groove, usually to the lat-eral side of the knee. It occurs when the quadriceps tendons and other ligament stabilizers attached to the borders of the patella contract forcefully as the knee rotates and pulls the patella out of place. Patellar dislocation accounts for 2 – 3% of all knee injuries, however, is the sec-ond most common cause of knee hae-marthrosis .
M ore common in the Ages of 16-20 years. Athletic factors that predispose this complication include sports with twisting, rotational motion of the knee like those mentioned before and direct trauma to the knee.
S ports Physical Therapist offers the valuable service in this case. The athlete may often report, ‘Snapping’ sensation, intense pain, perception of Knee cap dislocation. The outcomes of physiotherapy management are pretty favorable. The treatment of patellar dislocation with physiotherapy, includes a period of immobilization/bracing in extension (at least 3 weeks). This is fol-lowed by functional rehabilitation, with the aims of, Quadriceps strengthening, Restoration of Range of motion , Stretch-ing of lateral structure tightness, Mobili-zation for cartilage nutrition..”.
One of the systematic reviews showed an excellent to good results in 76% of patients, with an aver-age re-dislocation rate of about 48%. It is essential to exclude concomitant inju-ries. Imaging is an important component of treatment decision.. X-Ray series is essential in primary patellar dislocation; MRI is utilized as required. Quadriceps rehabilitation is the mainstay of rehab. Surgery is indicated only in the following cases; Significant chondral injury, Osteo-chondral fractures, Subsequent disloca-tion, Large medial patellar stabilizer de-fects.
You Can avoid this Problem if you do the following and can educate your friends and relatives for their health and safety!
Squats: The movement involves squatting down with your back straight until the knees and thighbones form a 90-degree angle. At that point, drive through your heels and back up into the starting position. Repeat 10-15 times regularly
Hamstring Curl: The hamstring curl is done by lying facedown and curling the legs up to the butt, paus-ing there, and then returning to the starting position. Repeat 10-15 times.
Inner and Outer Thighs: To work the inner thighs, lie on your back and place an exercise ball in be-tween your legs for resistance. Squeeze the legs together against the ball, pause, and then return to the starting position. For the outer thighs, lie on your back and place a resistance band around the out-side of your legs. Start with legs together and push out against the resistance, pause, then return to the starting posi-tion. Repeat 10-15 times. For all these exercises make sure that you repeat every set after an interval of 50-90 Sec-onds and perform on daily basis. Take Care!
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