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Started By
Message
Patella Subluxation
Posted on 9/13/24 at 9:37 am
Posted on 9/13/24 at 9:37 am
I believe the ultimate correct answer is that I need to take him to the doctor. But if any of you have any experience with this specific issue, I'd really appreciate some guidance.
Please give us the benefit of the doubt in having our priorities in line - we're quite aware that there won't be collegiate level competition for us.
My 16 year old kid had his patella pop out of place at practice last night. This happened one time before about a year ago. He physically moved it back into place both times. When he got home from practice it was definitely a bit swollen, but he can walk and put weight on it.
Same thing the last time it happened - he took about a week to rest and was "good to go" (other than not correcting some underlying issue).
He has a game this weekend, 2 practices next week, and then 2 games next weekend - and then school tryouts the following week.
Making the school team is absolutely his priority, and for where we live and the quality and competitiveness of the program, this is realistically his last chance after not making it last year as a sophomore. If he doesn't attend this tryout, meaningful soccer is essentially over for him.
If we hadn't somewhat been through this particular injury before, I might think a little differently, but I'm leaning toward making him sit for the next week so that he'll be ready for the tryout.
Thanks for whatever guidance you have to share.
Please give us the benefit of the doubt in having our priorities in line - we're quite aware that there won't be collegiate level competition for us.
My 16 year old kid had his patella pop out of place at practice last night. This happened one time before about a year ago. He physically moved it back into place both times. When he got home from practice it was definitely a bit swollen, but he can walk and put weight on it.
Same thing the last time it happened - he took about a week to rest and was "good to go" (other than not correcting some underlying issue).
He has a game this weekend, 2 practices next week, and then 2 games next weekend - and then school tryouts the following week.
Making the school team is absolutely his priority, and for where we live and the quality and competitiveness of the program, this is realistically his last chance after not making it last year as a sophomore. If he doesn't attend this tryout, meaningful soccer is essentially over for him.
If we hadn't somewhat been through this particular injury before, I might think a little differently, but I'm leaning toward making him sit for the next week so that he'll be ready for the tryout.
Thanks for whatever guidance you have to share.
5
Posted on 9/13/24 at 10:38 am to AUjim
Which direction did it dislocate? Did it dislocate laterally (to the outside of his knee) or medially (to the inside)? Also, if he or someone else had to manually put it back into place then it's a Dislocation. I'm not trying to correct you, it's only that a Dislocation is much more concerning than a Subluxation.
Posted on 9/13/24 at 10:54 am to AUjim
My son had two dislocations in one wrestling season and had MPFL reconstruction after the second. I can't remember the exact numbers that were given to us by his ortho but its something like a 30% chance of a second dislocation after the 1st and and a 90% chance of another dislocation after the 2nd.
I also dealt with similar during my teens and 20s and ultimately had a lateral release to correct it in my late 20s. I never had a full dislocation but repeated subluxations. I definitely wish I had gotten it corrected a lot earlier than I did.
I'm not a doctor but I think he could tryout and try to get through the season with a brace before having anything done.
Feel free to PM me if you want more information
I also dealt with similar during my teens and 20s and ultimately had a lateral release to correct it in my late 20s. I never had a full dislocation but repeated subluxations. I definitely wish I had gotten it corrected a lot earlier than I did.
I'm not a doctor but I think he could tryout and try to get through the season with a brace before having anything done.
Feel free to PM me if you want more information
Posted on 9/13/24 at 11:15 am to AUjim
He needs to be in a knee immobilizer 24/7 for at least the next 2 weeks, I usually make patients wear it 3-4 weeks and then come back for a re-check.
It's usually 3 strikes and you're out when it comes to patella subluxations. So he is nearing a surgery consult to repair the MPFL.
If he wants to tryout for school, he needs to sit all this out. Just my opinion from a sports doc.
It's usually 3 strikes and you're out when it comes to patella subluxations. So he is nearing a surgery consult to repair the MPFL.
quote:
He has a game this weekend, 2 practices next week, and then 2 games next weekend - and then school tryouts the following week.
If he wants to tryout for school, he needs to sit all this out. Just my opinion from a sports doc.
This post was edited on 9/13/24 at 11:17 am
Posted on 9/13/24 at 12:37 pm to PrezCock
Laterally - and I certainly don't take offense to the correction - I appreciate it!
Posted on 9/13/24 at 12:38 pm to jose
quote:
jose
Very much appreciated!
Posted on 9/13/24 at 12:52 pm to AUjim
quote:
Laterally - and I certainly don't take offense to the correction - I appreciate it!
I wouldn't call it a correction, and a lot of practitioners will use subluxation. I just don't like to use it in cases like this.
Anyway, but Jose said is pretty spot on from an Ortho's perspective. Definitely get it checked out by an ortho. If surgery isn't recommended, then I would say 6 weeks of bracing, let that tissue scar up. Then I would focus on VMO strengthening, strengthening glute medius and adductors. Lengthening vastus lateralis/TFL and probably piriformis.
Good luck.
Posted on 9/13/24 at 2:52 pm to AUjim
Get him in to physical therapy asap to make sure muscle strength and control isn’t lost and get him a lateral J brace for lateral support when active. You can find these on Amazon these days. Just know the likelihood of further problems are higher if he continues to play.
Posted on 9/14/24 at 6:33 am to AUjim
Have it looked at.
My son has played football since the 8th grade. Had a few starts his JR year and worked his way to starter this year. Was doing really well and having a blast. He ruptured his ACL a week ago. That’s it ….his football career is over after 6 years of work and it’s heart wrenching.
Point being…if you know he has a problem and can fix it now do it. Don’t ignore it and have it impact him later when he has no time left.
My son has played football since the 8th grade. Had a few starts his JR year and worked his way to starter this year. Was doing really well and having a blast. He ruptured his ACL a week ago. That’s it ….his football career is over after 6 years of work and it’s heart wrenching.
Point being…if you know he has a problem and can fix it now do it. Don’t ignore it and have it impact him later when he has no time left.
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