The Management of Superior Dislocation of the Patella with Interlocking Osteophytes—An Update on a Rare Problem

The superior dislocation of the patella with interlocking osteophytes is a rare condition. A review of the English literature revealed only 12 reported cases. The purpose of reviewing these case reports is to highlight the unusual presentation and the injury mechanism in 2 of our patients, and to pr...

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Bibliographic Details
Main Authors: DKH Yip, JWK Wong, LK Sun, NM Wong, CW Chan, PY Lau
Format: Article
Language:English
Published: SAGE Publishing 2004-12-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900401200223
Description
Summary:The superior dislocation of the patella with interlocking osteophytes is a rare condition. A review of the English literature revealed only 12 reported cases. The purpose of reviewing these case reports is to highlight the unusual presentation and the injury mechanism in 2 of our patients, and to present our treatment algorithm. Closed reduction with manipulation of the patella, with or without anaesthesia, was performed without difficulty. We recommend an intermediate step of trying a regional nerve block before proceeding to general anaesthesia. Our patients had full range-of-motion after reduction and they were symptom-free after 3 years of follow-up. There were no recurrent dislocations in our patients.
ISSN:2309-4990