Patellar dislocation: Not the bees knees

被引:0
作者
Duignan, Martin [1 ,2 ]
McGibney, Mary [3 ]
机构
[1] Our Ladys Hosp Navan, Emergency Dept, Co Meath, Ireland
[2] RCSI, Sch Nursing & Midwifery, Honorary Clin Associate, Dublin, Ireland
[3] Cavan Gen Hosp, Dept Rehabil, Cavan, Ireland
关键词
Patellar dislocation; Emergency department; Advanced practice; MPFL; Rehab; MEDIAL PATELLOFEMORAL LIGAMENT; RECONSTRUCTION; INSTABILITY; CODEINE; PAIN;
D O I
10.1016/j.ienj.2016.09.002
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Patellar dislocations are common, particularly in the adolescent polulation. Registered Advanced Nurse Practitioners are healthcare professionals who can appropriately manage these injuries to minimise the risk of chronicity. Methods: This is a case study which uses a clinical examplar from the authors practice focusing on the assessment, diagnosis and managment of patellar dislocations. Particular reference is made of the significance of the MPFL. Results: This paper highlights the importance of recognition of appropriate management of patellar dislocations in the ED setting. Discussion points include the role of the MDT and the role of exercise prescription in the injury management. Conclusion: The diagnosis of patellar dislocation is heavily dependant on eliciting a comprehensive history and conducting an appropriate clinical exam. Patient outcomes may be optimised by adopting an MDT approach. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:36 / 40
页数:5
相关论文
共 35 条
[1]   Post-Traumatic Osteoarthritis: Improved Understanding and Opportunities for Early Intervention [J].
Anderson, Donald D. ;
Chubinskaya, Susan ;
Guilak, Farshid ;
Martin, James A. ;
Oegema, Theodore R. ;
Olson, Steven A. ;
Buckwaltert, Joseph A. .
JOURNAL OF ORTHOPAEDIC RESEARCH, 2011, 29 (06) :802-809
[2]  
Arai Y, 2015, KNEE SURG SPORTS TRA
[3]  
Aranganathan S, 2010, INJURY EXTRA, V41, P201
[4]   Returning to play - The mind does matter [J].
Bauman, J .
CLINICAL JOURNAL OF SPORT MEDICINE, 2005, 15 (06) :432-435
[5]  
Buckup K., 2008, CLIN TESTS MUSCULOSK, V2nd
[6]   PATELLAR DISLOCATION IN A 16-YEAR-OLD ATHLETE WITH FEMORAL TROCHLEAR DYSPLASIA [J].
Cho, John C. S. ;
Haun, Daniel W. ;
Morrell, Adam P. ;
Kettner, Norman W. .
JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2009, 32 (08) :687-694
[7]   Adolescent knee pain and patellar dislocations are associated with patellofemoral osteoarthritis in adulthood: A case control study [J].
Conchie, Henry ;
Clark, Damian ;
Metcalfe, Andrew ;
Eldridge, Jonathan ;
Whitehouse, Michael .
KNEE, 2016, 23 (04) :708-711
[8]  
Derry S, 2016, COCHRANE COLLABORATI
[9]  
Dietrich T, 2016, SEMIN MUSCULOSKEL R, V20, P065
[10]   Injury to the posterolateral corner of the knee: emergency department assessment and management [J].
Duignan, Martin ;
Jamal, Ahmad .
INTERNATIONAL EMERGENCY NURSING, 2015, 23 (02) :105-108