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Patellar Dislocation !

A patellar dislocation is when the kneecap slips out of its groove, almost always to the outer side, after a twist or a direct blow.

Updated 2026-10-23

Structures involved

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What it is

The kneecap moves out of its groove, usually laterally, after a twisting injury or direct blow.

Risk factors

  • Patella alta
  • Trochlear dysplasia
  • Previous dislocation

Symptoms and signs

  • Sudden pain and deformity of the kneecap
  • Swelling
  • Inability to straighten the knee fully

Diagnosis

Clinical
History and exam
Imaging
X-ray to rule out fracture; MRI for cartilage or soft-tissue injury

Treatment

Rehabilitation
Reduction if needed, bracing, and physical therapy for first-time dislocations.
Surgical
MPFL repair or reconstruction for recurrent dislocations.

Complications

  • Recurrent instability
  • Osteochondral fracture
  • Patellofemoral osteoarthritis

Educational information, not medical advice. For any symptom, see a health professional.

Sources: Patella Dislocation (StatPearls (NCBI Bookshelf), 2024).

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Representative model, for educational purposes only.

Patella highlighted on the Durgical 3D model