Unusual Horizontal Patellar Dislocation Reduced without General Anesthesia: A Report of 2 Cases

JBJS Case Connect. 2019 Jan-Mar;9(1):e2. doi: 10.2106/JBJS.CC.18.00177.

Abstract

Case: Horizontal patellar dislocation is a rare clinical event, and there is no consensus on its management. We describe 2 relatively elderly patients with 2 different types of horizontal patellar dislocation who were successfully treated with closed reduction without general anesthesia.

Conclusion: Appropriate and gently managed closed reduction without general anesthesia may be successful in cases of acute horizontal patellar dislocation, provided there are no osteophytes or an injury that requires surgical treatment. With closed reduction and subsequent rehabilitation, patients can regain functional capacity quickly.

Publication types

  • Case Reports

MeSH terms

  • Emergency Service, Hospital
  • Female
  • Humans
  • Knee Joint* / diagnostic imaging
  • Knee Joint* / pathology
  • Knee Joint* / physiopathology
  • Male
  • Middle Aged
  • Patellar Dislocation / diagnostic imaging
  • Patellar Dislocation / pathology
  • Patellar Dislocation / physiopathology
  • Patellar Dislocation / therapy*
  • Range of Motion, Articular / physiology