Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Patellar Dislocation — Acute

Most common acute dislocation of knee; lateral displacement of patella. Mechanism: valgus stress + external rotation with knee flexion. Clinical: sudden giving way, patella displaced laterally, hemarthrosis. Imaging: X-ray for osteochondral fracture; MRI for MPFL tear, loose bodies. Treatment: reduction + immobilization, physiotherapy; surgery if recurrent or osteochondral fracture.

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Most common acute dislocation of knee; lateral displacement of patella. Mechanism: valgus stress + external rotation with knee flexion. Clinical: sudden giving way, patella displaced laterally, hemarthrosis. Imaging: X-ray for osteochondral fracture; MRI for MPFL tear, loose bodies. Treatment: reduction + immobilization, physiotherapy; surgery if recurrent or osteochondral fracture.
MCQs

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Question 1

What is the most common direction of patellar dislocation in acute cases?

Question 2

What is the primary static restraint to lateral patellar displacement?

Question 3

Which imaging modality is most useful for assessing a suspected MPFL tear after an acute patellar dislocation?

Question 4

What is the typical mechanism of injury for an acute patellar dislocation?

Question 5

What is the first-line treatment for an acute patellar dislocation?

Question 6

What percentage of first-time patellar dislocators are likely to experience a recurrence?

Question 7

What anatomical feature is a significant risk factor for recurrent patellar dislocation?

Question 8

Which examination finding is most characteristic of an acute patellar dislocation?

Question 9

When assessing the TT-TG distance, what measurement is considered abnormal?

Question 10

Which of the following is a common symptom reported by patients after an acute patellar dislocation?