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Patellar Instability

The kneecap glides in a groove on the front of the thigh bone. If the groove is shallow or the supporting ligaments are weak, the kneecap can slip outwards — a problem that tends to recur, especially in young, active patients.

01What is it?

Patellar instability means the kneecap dislocates, or slides enough to feel unstable. The first dislocation often damages the MPFL, the ligament that holds the kneecap on the inside.

02Symptoms

  • Kneecap slipping outwards
  • Sudden pain and swelling
  • Instability when turning
  • Pain and catching at the front of the knee

03Diagnosis

In addition to examination, X-ray, MRI and, when needed, CT assess groove depth, kneecap height and leg alignment. The treatment plan is tailored to these risk factors.

04Treatment Options

After a first dislocation, physiotherapy and a hip–thigh strengthening programme are usually enough. Surgery is considered for recurrent dislocations or when a cartilage fragment has broken off.

Surgery reconstructs the damaged MPFL and, when needed, corrects bony alignment.

  • Physiotherapy and strengthening
  • MPFL reconstruction
  • Fixation of cartilage fragments
  • Realignment surgery

05Recovery

Controlled movement starts early after surgery. Return to sport is planned once strength and confidence reach an adequate level.

?Frequently Asked Questions

If my kneecap dislocated once, will it happen again?+

It depends on risk factors. Young age, a shallow groove and a high-riding kneecap increase the risk.

Is surgery necessary?+

Most patients are treated without surgery after a first dislocation; surgery is considered for recurrent cases.

This page provides general information. The right treatment for you is decided with your doctor after examination and tests.

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