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Author Topic: Please help! Dislocated knee cap - questions  (Read 3091 times)

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Offline lace7725

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Please help! Dislocated knee cap - questions
« on: June 11, 2009, 10:12:53 PM »
Hello ... I have been doing tons of research on this board and it made me have a total melt down last night.   :'(

On Monday (June 8th) I was mattress shopping and I twisted wrong while holding my baby getting into one of the mattresses and I popped my knee cap out of the socket.  I laid back into the bed with my knee cap sitting on the lateral side of my knee (gross!).  I was screaming in pain and scared to move.  EMS came and took me to ER and 3 hours later they straighten my leg and it popped right back into place.  I am in a splint which does not allow me to bend my knee at all!  I am waiting to get a second opinion from another doctor.  The one I saw was rude and too busy for me.  It made me sad ....

I have family coming to town this weekend --- can I walk around on the leg with the brace on or do I need to be in bed basically for 10 days after injury?  I called the doctor I saw but I have not heard back from him.  I thought you guys might be able to help.

I am very worried about the future ... how long will I have to be in this brace?  I scared to ever take it off even to shower.  I am not really in pain just sore and tiny bit of swelling still.   Ice or heat?

What does my future hold now that this has happened?  Will I have to wear a brace of some form forever to prevent it popping out again?  I want to have more children and worry I wont be able to?  I know I sound crazy --- well I feel like I am going crazy after reading others stories. 

Please help me and thank you
Lacy ???

Offline Silkncardcrafts

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Re: Please help! Dislocated knee cap - questions
« Reply #1 on: June 12, 2009, 12:11:42 AM »
Hi Lacy,

I feel for you. Don't worry, things will be ok.

There is no need to be bed ridden. It won't do you much good. Just important that you don't overdo things. It is important to listen to your body.

It depends on the doctor, but can be in the brace for a few weeks up to 6. Just depends on the doctor.

If you do some physiotherapy to strengthen up the muscles around your knee you shouldn't have to wear a brace all the time.

Good luck ! Let us know how you go with the second opinion.
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline lace7725

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Re: Please help! Dislocated knee cap - questions
« Reply #2 on: June 12, 2009, 01:10:08 AM »
Thanks for the reply!  I feel like my life will never be the same after reading some of these stories ....    :-[

I assume I need to be sleeping with the brace on at night as well?  I would assume since the doctor said to wear it 24/7 but he seemed to care very little and not sure he was even in the same room mentally.  hehe

Lacy


Offline Silkncardcrafts

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Re: Please help! Dislocated knee cap - questions
« Reply #3 on: June 12, 2009, 09:27:05 AM »
Hi Lacy,

Try not to read in to things too much. It doesn't do you any good. Each person is different. I learnt that last year the hard way.

If it's not too uncomfortable wear your brace at night. Make sure you ice your knee lots too.

Good luck.
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline Leentje

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Re: Please help! Dislocated knee cap - questions
« Reply #4 on: June 12, 2009, 01:05:50 PM »
I hate it when I read that EMS take you to hospital without reducing the dislocation! Being a dislocation sufferer AND and EMT, I would never do such thing, all dislocations should be brought in without reducing, except a patella dislocation... Aaagh

Lacy!!

Don't panic just yet! This can be a one-off experience. I was put in a straight leg cast after every dislocation (READ : I have severe patellofemoral dysplasia, doens't mean you have this also!). Never had problems regaining strenght back, however trusting your knee again is another thing. Just give everything to get your muscles functionning 100% again when you're allowed. (ask to go to PT!!)

And yep, don't read to much, firstly find out WHY your patella dislocated instead of thinkingthe worst.

Good luck rehabbing! (might be comforting, I am currently again rehabbing from a broken foot... sigh.... not being able to play sports sucks really!)

Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline subail

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Re: Please help! Dislocated knee cap - questions
« Reply #5 on: June 12, 2009, 01:24:26 PM »
Hi Lacy

Being a veteran of dislocations I can tell you that life continues after dislocations. Try not to over-react. I know it's painful at first but it does get better and as has already been stated it can be a one time thing. It will take awhile  to regain confidence but it will come.

Yes, wear the brace 24/7, ask for PT to help strengthen the muscles around your knee and try to relax!

Try to remember that not everyone who is a member of this site has had a bad experience...the information, however, is invaluable!

Sue
Dislocation of left patella and as a result left patellar tendon rupture in the medial section/torn at both ends.
3 Previous surgeries-semitendiosis tenodesis
Reconstruction surgery left knee October 10 '07
TKR right knee May 25 '10.....successful!
Limited ROM/TKR left knee May 25 2015...successful.

Offline lace7725

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Re: Please help! Dislocated knee cap - questions
« Reply #6 on: June 12, 2009, 02:27:12 PM »
 ;D ;D ;D ;D You guys rock!  I am so thankful I found this website.  I am a stay at home mom with a 1 year old and all our bedrooms are upstairs. So that is part of the reason I seemed so upset.  I hate being dependent on others, but learning to be better.

I KNOW how selfish this might sound but my husband and I have our first trip away from the baby (very excited but scared to be away from her!!!) to Mexico in 4 weeks.  I am nervous about going now with this knee cap dislocation thing????    uuuggg

Thank you everyone!!!

Lacy

Offline fraud_ninja

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Re: Please help! Dislocated knee cap - questions
« Reply #7 on: June 12, 2009, 07:53:41 PM »
Lacy,

I would recommend seeing an OS ASAP because you probably do not need to be in a straight leg brace.  From my experiences, I have had plenty of full patella dislocations, the ER Doc always gave me a straight leg brace.  Then however, when I went to see an OS the one I always saw said that a straight leg brace was counter productive.  I had my OS dislocate my patella on accident and even after that he said that there was no need for a brace.

Obviously follow the instructions given to you, but I know from my experiences that the key to recovery after a patella dislocation is Physical Therapy and strengthening the muscles.  Being in a straight leg brace only causes the muscles to atrophy and thus makes the problem worse.  So...in my opinion...see an OS ASAP.

I dislocated four times, twice on each knee at 12 and 13 years old.  It was a horrible experience.  In fact, the first time it happened to me I had my patella out of place for SIX HOURS and was not given anything for pain...not even ice.  I would have nightmares and fear that my knees were going to pop out of place all the time.  But, I recovered from that and was very active during my teenage years.

My patella instability returned when I was 20...I am now 26.  My problems eventually led to surgery to correct the problem, but this is not the case for everyone.  Many people will dislocate once and never have another problem.  Should this become a recurring problem for you, seek out a patella femoral specialist for treatment.  Finding my OS has totally changed my life.  My patella problem got so bad that I could hardly walk.  Now, after a few surgeries (finding a PF Specialist was the key) I have no restrictions on my activities.  In fact, I am taking a Latin Dance class on Tuesday next week...something that I would have never dreamed of two years ago.

Please do not freak out, there is life after a dislocation.  The key is finding someone who can properly treat you...not all OS's are knowledgable enough to properly treat patella issues...although they will certainly try to treat it.

12/26/02 LR R
10/26/06 TTT R
1/25/07 TTT L
12/17/07 TTT revision, MPFL recon R
2/7/08 TTT revision, MPFL recon L
3/24/08 screw removal R
4/30/08 screw removal L

Knees are fixed, training for a triathalon.

9/21/09- Right ankle reconstruction

Offline lace7725

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Re: Please help! Dislocated knee cap - questions
« Reply #8 on: June 12, 2009, 08:28:42 PM »
fraud_ninja ... Thank you for your response.  I have often wondered how bracing my knee is helping (to build scar tissue I was told).  I can tell in only one week the difference in my leg strength.  I seeing a knee specialist on Monday and if I am not happy with that doctor I will just keep trying until I find one that seems to care and know what they are talking about. hehe (as if I would know anyways!)  :o)

This site is wonderful - thanks guys!
Lacy

Offline spurs27

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Re: Please help! Dislocated knee cap - questions
« Reply #9 on: June 15, 2009, 02:05:04 PM »
Lacy,

Very much agree with what "the Ninja" says in al respects.  Straight leg braces=bad.  Loss of muscle mass, loss of range of motion, loss of mobility, which ends up in insanity ;D  No seriously, straight leg braces were a common treatment for kneecap dislocations years ago when I first had my issues (circa 1991).  Ice, small deliberate movements and more ice are your best friends right now.

In regards to getting an OS, I also agree completely with ninja.  Not all OS's are well versed in issues pertaining to the kneecap.  In fact, most are not but will pretend they are so as not to look dumb.  Finding someone who specializes in kneecap disorders is paramount to getting treated correctly.  Depending on where you live there are many options.  If your OS says he knows how to treat kneecap disorders, ask for proof and his experience in what surgerys he has performed.  This could save you lots of time.

I hope your appt. goes well and I'll be checking back with you to see your progress.

R,
Brian
History:
1992:  L kneecap dislocation
1992:  L knee Arthroscopy & MCM repair
1998:  R kneecap dislocation
2002:  R kneecap dislocation
2004:  R kneecap dislocation
2007:  R kneecap dislocation
2008:  R kneecap dislocation
2009:  R MPFL recon

Offline Leentje

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Re: Please help! Dislocated knee cap - questions
« Reply #10 on: June 15, 2009, 10:11:35 PM »
I agree with Bryan, although we have to put patients post patellar dislocation in a cast for a few days in ER. I always ad a cast,  even post TTT, never had problems ie regaining strenghth back. However I am pro brace myself.

Lacy, how are you doing now? I understand you're worryig about your trip. Everything will be ok though, just keep continuing with your exercises while you're away.
I went 4 days to Londen a few weeks ago. We left on friday may 29th and on may 26th I broke my foot.. ugh! Had to go sighteeing on crutches... luckily I am used to using them and it hasn't been a problem (although my hands were killing me!!!!!  ;D) Have to admit, I removed my cast and put on a brace, lots easier, could shower (thank heaven!!!!!!) and wear a shoe... Our trip was fantastic!

Hope you're ok!

Helena
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline lace7725

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Re: Please help! Dislocated knee cap - questions (UPDATE)
« Reply #11 on: June 16, 2009, 01:14:31 AM »
Hello everyone .... again thanks for your help.

I went to see 2 different ortho surgeons. They both are knee specialists.  They BOTH said I have q angle knees issues.  Basically when I bend my leg my knee cap moves to far to the outer part and causes maltracking????  I am sure I am saying this all wrong ....  I am scared to death to take the brace off!!!!!!!!   I just cant seem to get the nerve ----  my leg is SO sore and my muscles hurt so much only after 7 days with the straight leg brace on.  They both told me to take the brace off and be careful and will start PT very soon.  Both knees have this issue.

Anyone heard of this one?   I am gonna do a search on the forum for this issue.

Lacy :)

Offline spurs27

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Re: Please help! Dislocated knee cap - questions
« Reply #12 on: June 17, 2009, 07:14:20 PM »
Lacy,

Yes I have heard of Q-Angle issues.  Although I do not have this problem, through my research for my surgery I came across the condition.  It's basically the angle from your kneecap to your hips.  It is more common in females than males because males don;t have hips ;)

Anyways, from what I have read on this site, a TTT is typically the surgical procedure used to correct large Q-Angle's.  If you want to find information or people with Q-Angle problems, then start with the TTT (or sometimes referred to as a Fulkerson procedure) threads and you should find some information.  TTT stands for Tibial Tubercle Transfer...could try putting that into Google as well.

Happy searching ;D

Brian
History:
1992:  L kneecap dislocation
1992:  L knee Arthroscopy & MCM repair
1998:  R kneecap dislocation
2002:  R kneecap dislocation
2004:  R kneecap dislocation
2007:  R kneecap dislocation
2008:  R kneecap dislocation
2009:  R MPFL recon

Offline spurs27

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Re: Please help! Dislocated knee cap - questions
« Reply #13 on: June 17, 2009, 07:20:50 PM »
Lacy,

Read this...talks about Q-Angle...


http://www.kneeguru.co.uk/KNEEnotes/node/1800

Brian
History:
1992:  L kneecap dislocation
1992:  L knee Arthroscopy & MCM repair
1998:  R kneecap dislocation
2002:  R kneecap dislocation
2004:  R kneecap dislocation
2007:  R kneecap dislocation
2008:  R kneecap dislocation
2009:  R MPFL recon