Promotion of healthy lifestyle on the example of the problem of patella dislocation in athletes
DOI:
https://doi.org/10.12775/JEHS.2022.12.11.040Keywords
patellar dislocation, patella, athletesAbstract
Introduction: Both in Poland and around the world, many people, especially those who regularly engage in sports, struggle with a wide variety of musculoskeletal ailments. One of them, relatively often occurring against the background of problems affecting the knee and patellofemoral joint, is the problem of patellar dislocations. Patellar dislocation is the slipping of the patella out of its proper place, which is the trochlea of the femur. The ailments mentioned above are of particular importance for athletes. To prevent this, any physical activity should be approached with care, and effective treatment and rehabilitation methods should be implemented.
The aim of the study: The objective of the study was the presentation the case of a man dancer patient who experienced a dislocated patella during ballroom dance training and to present current methods of treatment and management of patellar dislocations in athletes based on a review of the PubMed and Google Scholar literature.
Results: The case report concerns a 21-year-old patient who suffered a first-time injury of lateral dislocation of the patella of the right knee during ballroom dance training. The patient's symptoms included severe pain, swelling and complete limitation of mobility of the right knee. An X-ray confirmed a dislocation of the patella. Based on the examination performed and the clinical picture, a diagnosis was made and an attempt was made to reposition the dislocation and appropriate treatment was administered.
Conclusions: Acute dislocation of the patella is most often caused by an injury sustained during physical or athletic activity. Management of acute patellar dislocation includes manual adjustment of the patella, checking the continuity of soft structures and possible surgical repair, and long-term rehabilitation, but it does not always disqualify from sports, even at a professional level, but nevertheless can significantly impede it.
References
Koh, J. L., & Stewart, C. Patellar Instability. Orthopedic Clinics of North America, (2015), 46(1), 147–157. doi:10.1016/j.ocl.2014.09.011
Frosch, K. H., Akoto, R., & Schmeling, A. Patellaluxation bei Sportlern. Der Chirurg, (2014), 85(10), 879–887. doi:10.1007/s00104-014-2772-4
Oestern, S., Varoga, D., Lippross, S., Kaschwich, M., Finn, J., Buddrus, B., & Seekamp, A. Patellaluxation. Der Unfallchirurg, (2011), 114(4), 345–359. doi:10.1007/s00113-011-2012-z
Johnson, D. S., & Turner, P. G. Management of the first-time lateral patellar dislocation. The Knee, (2019). doi:10.1016/j.knee.2019.10.015
Uimonen, M., Ponkilainen, V., Hirvinen, S., Mattila, V. M., Kask, G., Nurmi, H., … Repo, J. P. The risk of osteochondral fracture after patellar dislocation is related to patellofemoral anatomy. Knee Surgery, Sports Traumatology, Arthroscopy, (2021). doi:10.1007/s00167-021-06547-2
Höhne, S., Gerlach, K., Irlenbusch, L., Schulz, M., Kunze, C., & Finke, R. Patella Dislocation in Children and Adolescents. Zeitschrift Für Orthopädie Und Unfallchirurgie, (2017), 155(02), 169–176. doi:10.1055/s-0042-122855
Duthon, V. B. Acute traumatic patellar dislocation. Orthopaedics & Traumatology: Surgery & Research, (2015), 101(1), S59–S67. doi:10.1016/j.otsr.2014.12.001
Cao, H., An, Q., Gou, B., Ma, S., Goh, E. L., Xiong, L., … Ao, F. A new classification of injury patterns of the medial patellofemoral ligament after acute lateral patella dislocation detected using Magnetic Resonance Imaging studies. Injury. (2018). doi:10.1016/j.injury.2018.11.024
Wirth, T. Patellaluxationen. Der Unfallchirurg, (2011), 114(5), 388–395. doi:10.1007/s00113-011-1968-z
Frosch, S., Balcarek, P., Walde, T., Schüttrumpf, J., Wachowski, M., Ferleman, K.-G., … Frosch, K.-H. Die Therapie der Patellaluxation: eine systematische Literaturanalyse. Zeitschrift Für Orthopädie Und Unfallchirurgie, (2011), 149(06), 630–645. doi:10.1055/s-0030-1250691
Smith, T. O., Donell, S., Song, F., & Hing, C. B. Surgical versus non-surgical interventions for treating patellar dislocation. Cochrane Database of Systematic Reviews, (2015). doi:10.1002/14651858.cd008106.pub3
Panni, A. S., Vasso, M., & Cerciello, S. Acute patellar dislocation. What to do? Knee Surgery, Sports Traumatology, Arthroscopy, (2012), 21(2), 275–278. doi:10.1007/s00167-012-2347-1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Szymon Marosz, Aleksandra Borkowska, Mateusz Biszewski, Karol Marosz, Katarzyna Borkowska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 346
Number of citations: 0