A Rare Case of an Irreducible Patella Dislocation

Reports of irreducible patellar dislocations are exceedingly sparse throughout the literature. Obvious radiographic or physical exam findings including fracture or inversion of the patella are often present to explain the block to reduction. Not described previously in the literature is the instance...

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Main Authors: Dimitri E. Delagrammaticas, Scott D. Cordes
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2016/3728425
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author Dimitri E. Delagrammaticas
Scott D. Cordes
author_facet Dimitri E. Delagrammaticas
Scott D. Cordes
author_sort Dimitri E. Delagrammaticas
collection DOAJ
description Reports of irreducible patellar dislocations are exceedingly sparse throughout the literature. Obvious radiographic or physical exam findings including fracture or inversion of the patella are often present to explain the block to reduction. Not described previously in the literature is the instance of an irreducible patella dislocation in the setting of innocuous appearing injury imaging. We present a case of a healthy thirty-two-year-old female who sustained an irreducible lateral patella dislocation while participating in a dance aerobics class. Closed means of reduction were unsuccessful, necessitating open reduction. Intraoperative findings suggest incarceration of a nondisplaced fracture and a chondral defect as the block to reduction. Following open reduction, the patient has had no further episodes of pain or instability related to the patella at one-year follow-up. Irreducible patellar dislocations are exceedingly rare injuries, where associated osseous or chondral lesions may necessitate open reduction despite innocuous appearing initial imaging. A high index of suspicion to proceed with open reduction may limit repeated attempts at closed reduction and further injury.
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spelling doaj-art-ee2a43082a364866893f4ed685f98eee2025-02-03T06:42:20ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/37284253728425A Rare Case of an Irreducible Patella DislocationDimitri E. Delagrammaticas0Scott D. Cordes1Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 N. Saint Clair St No. 1350, Chicago, IL 60611, USADepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 N. Saint Clair St No. 1350, Chicago, IL 60611, USAReports of irreducible patellar dislocations are exceedingly sparse throughout the literature. Obvious radiographic or physical exam findings including fracture or inversion of the patella are often present to explain the block to reduction. Not described previously in the literature is the instance of an irreducible patella dislocation in the setting of innocuous appearing injury imaging. We present a case of a healthy thirty-two-year-old female who sustained an irreducible lateral patella dislocation while participating in a dance aerobics class. Closed means of reduction were unsuccessful, necessitating open reduction. Intraoperative findings suggest incarceration of a nondisplaced fracture and a chondral defect as the block to reduction. Following open reduction, the patient has had no further episodes of pain or instability related to the patella at one-year follow-up. Irreducible patellar dislocations are exceedingly rare injuries, where associated osseous or chondral lesions may necessitate open reduction despite innocuous appearing initial imaging. A high index of suspicion to proceed with open reduction may limit repeated attempts at closed reduction and further injury.http://dx.doi.org/10.1155/2016/3728425
spellingShingle Dimitri E. Delagrammaticas
Scott D. Cordes
A Rare Case of an Irreducible Patella Dislocation
Case Reports in Medicine
title A Rare Case of an Irreducible Patella Dislocation
title_full A Rare Case of an Irreducible Patella Dislocation
title_fullStr A Rare Case of an Irreducible Patella Dislocation
title_full_unstemmed A Rare Case of an Irreducible Patella Dislocation
title_short A Rare Case of an Irreducible Patella Dislocation
title_sort rare case of an irreducible patella dislocation
url http://dx.doi.org/10.1155/2016/3728425
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