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