Long time no talk....Research time!

Sorry it's been so long, the very last AP test was on Friday, and mine just happened to be then! So happy that I have one less thing to worry about now!

As promised here is some info about dislocations..

 

Background Info on Dislocations & Subluxations

-Dislocation occurs when at least one bone in an articulation is forced out of it's normal and proper alignment and stays out until it is either manually or surgically put back into place.

-Most commonly occurs in the shoulder joint, elbow, fingers, but they ca occur wherever two bones articulate. 

-Subluxation is similar to a dislocation, except when a bone pops out of it's normal articulation, it goes right back into place.

-Subluxation's most commonly occur in the shoulder joint, and in the kneecap in females. 

-Should be taken to get an X-ray to rule out fractures, or other problems. 

Rehabilitation Techniques for Sports Medicine and Athletic Training

William E. Prentice (Fourth Addition)

SPECIFICALLY- Dislocated Patella

How does it happen?

-Usually associated with sudden twisting of the body while the foot or feet are planted, and "giving way" episode.

Symptoms?

-Complete loss of knee function, pain, swelling, and patella resting in an abnormal position.

-Physician reduces the dislocation by applying mild pressure, with knee extended. 

-General anesthetic may be used, ice is applied, and joint is splinted.

-X-ray is performed and after reduction.

Management?

-To reduce dislocation, the hip is flexed, and the patella is greatly moved medially as the knee is slowly extended.

-The knee is then immobilized in extension for 4 week or longer, and athletes are instructed to use crutches while walking.

-During this time, isometric exercises are performed at the knee joint, to regain strength.

-After immobilization, athlete should wear a horseshoe-shaped pad around the patella used as a sleeve, to  protect the patella while running or performing in sports.

-If surgery is performed, it's usually to release constrictive ligaments or to reconstruct the patellofemoral joint.

-It's important to strengthen and balance the strength of all musculature associated with the knee joint.

-She orthotic devices may be used to reduce foot pronation, tibial torsion, and reduce stress in the patellofemoral joint.

Principles of Athletic Training: Eighth Edition

Daniel D. Arnheim

William E. Prentice