The treatment of patellofemoral joint subluxation depends on the following factors.

• Degree of lateral displacement of the patella
• Mechanism or type of subluxation or dislocation-whether it is due to
  • Malalignment of the quadriceps mechanism with contracture of the lateral patellar retinaculum and iliotibial band.
  • Muscle imbalance between a weak and high oblique vastus medialis and a hypertrophied, low, and transverse vastus lateralis
  • Extreme ligamentous hyperlaxity
  • Trauma resulting  weakening of the vastus medialis.
  • Malposition of the patella
  • Angular or rotational deformity of the knee and leg
  • Presence or absence of bony hypoplasia of the lateral femoral condyle.

• Presence or absence of chondromalacia of the patella.
• Age
• Psychological aspects

A rough guide to management of this condition is as follow [Read more...]