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Author Topic: patellar subluxatio  (Read 1186 times)

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Offline Goof

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patellar subluxatio
« on: June 22, 2010, 07:38:43 PM »
Starting having a sharp pain behind the kneecap running a few years ago (I'm not a big runner, but like to keep in shape) So I took it easy and had to stop.  Then my knee was generally sore on some days.  The pan is in both knees, mostly my left.  Sometimes I can feel it grind, but not usually.

So I went to the doctor about it, think he said it was patellar subluxatio where my patella is being pulled a little out of the grove.  I went to therapy 3 times a week for 3 months, and did some stretches on my own.  It didn't improve as I was mostly inactive during this time, and mostly since then.  This was 1.5 years ago, I never picked running back up and my knee is sore more often.  And no it actually hurts.  During this last year I almost always did at least 1 stretch after showering.

I do have an appointment this Thursday with that same knee doctor, but is there anything that can be done to actually fix it?  I don't like the approch of spending a toon of money (I don't have much) on things that don't work.

I've read about lateral release, is this the only solution available to me?

Is there anything I should know when I go to talk with the doctor again?
Could I get both knees done at the same time? How long for recovery?

Thanks guys, (I did do a search hoping to get some answers, but fund a lot of noise)

Offline kris_83

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Re: patellar subluxatio
« Reply #1 on: June 23, 2010, 12:25:43 PM »
Did you ever have x-rays when you were told it was subluxation? I was diagnosed with subluxation last December and did not respond to PT or pain meds. I then had x-rays and an MRI which came out clear. My doctor gave up and told me I was fine. I am now recovering from a chrondroplasty, plica removal, patellar decompression and synovectomy.

I've talked to lots of people whose doctors automatically go to "patellar sublux" as a diagnosis for knee problems in young people. Is the doctor you're seeing an orthopedist?
12/09 dx- patellar subluxation (not!)
1/10 mri- neg; PT rx failed
4/10 more PT
5/10 dx patellar hypertension
6/7/10 chrondroplasty, patellar decompression, synovectomy and plica excision
5/6/11 dx RA, sjogren's

Offline Goof

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Re: patellar subluxatio
« Reply #2 on: June 23, 2010, 06:08:35 PM »
The doctor did do x-rays last time I was there.

I am really hopping I can get input on what kind of questions I should be asking the doctor when I see him.

Offline Lottiefox

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Re: patellar subluxatio
« Reply #3 on: June 23, 2010, 09:44:03 PM »
Questions for doctor:

Why do you think my patella is subluxing? (if it is) e.g. is it tilted, shallow groove, damaged ligaments, weak ligaments, flat patella, bone rotational issues?
Does it track correctly? (You need scans done with the patella in various degrees of flexion with the quads tensed and relaxed to answer this one)
What did my X-rays show, what views were they? (eg standing weight bearing, knees bent etc)
Do I need an MRI? (at the present time it seems unclear as to what level of cartilage damage you have, if any)
Why did PT not help me, is there any point in a revised program of PT?
What non surgical options do I have?
What surgical options would you recommend and why? What are the risks? How many of these do you do? What are the success rates? What is the rehab period?

A lateral release is a possible option but is rarely done on its own and is only indicated for patella tilt - not just subluxations. I have a tilt, but I don't sublux.

You really need to educate yourself about patella issues (they are complicated but the wrong op can make matters worse), and possible solutions... and make sure your doctor is a patella specialist...

Lottie  :)
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....