Reduction of Patellar Dislocation Most patellar dislocations are lateral, and they often reduce on their own. But sometimes they need a little help. Tips for reducing a dislocated patella: • have the patient sit or recline with hips slightly flexed • apply gentle pressure on the lateral aspect of the patella as you extend the knee • usually pain meds are not needed for the procedure, but, if the patient can’t tolerate it, consider a femoral nerve block or ketorolac • obtain post-reduction x-rays (AP, lateral, and sunrise) • give the patient a knee immobilizer and crutches - they should have follow-up within a week for early mobilization and rehab Sarah Medeiros, MD, MPH @drsarahem #Reduction #Patellar #Dislocation #Procedure #MSK #Knee #Clinical #Video #PhysicalExam
