Lateral Patellar Dislocation: A Critical Review and Update of Evidence-Based Rehabilitation Practice Guidelines and Expected Outcomes.

JBJS Rev · May 01 2022 · Review

Watson R, Sullivan B, Stone AV, Jacobs C, Malone T, Heebner N, et al.

Department of Physical Therapy, University of Kentucky, Lexington

Sports Medicine

SUMMARY — THE REDUCTIONReview confirms MPFL reconstruction reliably prevents recurrent lateral patellar dislocation, and rehab (operative or nonoperative) should target pain/edema resolution, motion, and hip/knee strengthening before return to sport.
Abstract, as published

»: Nonoperative treatment of a lateral patellar dislocation produces favorable functional results, but as high as 35% of individuals experience recurrent dislocations.

»: Medial patellofemoral ligament reconstruction is an effective treatment to prevent recurrent dislocations and yield excellent outcomes with a high rate of return to sport.

»: Both nonoperative and postoperative rehabilitation should center on resolving pain and edema, restoring motion, and incorporating isolated and multijoint progressive strengthening exercises targeting the hip and knee.

»: Prior to return to sports, both functional and isolated knee strength measurements should be used to determine leg symmetry strength and to utilize patient-reported outcome measures to assess the patient's perceived physical abilities and patellofemoral joint stability.

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