Vertical Patellar Dislocation: Reduction by the Push Up and Rotate Method, A Case Report and Literature Review

Ahmad Khan, Hayat; Bashir Shah, Adil; Kamal, Younis

doi:10.5812/traumamon.24705

Vertical Patellar Dislocation: Reduction by the Push Up and Rotate Method, A Case Report and Literature Review

Authors

Hayat Ahmad Khan

Adil Bashir Shah

Younis Kamal

10.5812/traumamon.24705

Abstract

Introduction: Patellar dislocation is an emergency. Vertical patellar dislocation is rare, often seen in adolescents and mostly due to sports injuries or high-velocity trauma. Few cases have been reported in the literature. Closed or open reduction under general anesthesia is often needed. We report a case of vertical locked patellar dislocation in a 26-year-old male, which was reduced by a simple closed method under spinal anaesthesia. A literature review regarding the various methods of treatment is also discussed. Case Presentation: A 26-year-old male experienced a trivial accident while descending stairs, sustaining patellar dislocation. The closed method of reduction was attempted, using a simple technique. Reduction was confirmed and postoperative rehabilitation was started. Follow-up was uneventful. Conclusions: Vertical patellar dislocations are encountered rarely in the emergency department. Adolescents are not the only victims, and high-velocity trauma is not the essential cause. Unnecessary manipulation should be avoided. The closed reduction method is simple, but the surgeon should be prepared for open reduction.

Keywords

Vertical Patellar Dislocation

Closed Reduction

Push

and

Rotate Method