Patellar Dislocation
Conditions
Brief summary
Do teen-age patients with a dislocated knee cap do better with or without a brace?
Detailed description
This study will look at two different ways to treat teen-age patients who have had a dislocation of their knee cap. Both groups will receive the physical therapy treatment for knee cap dislocation but one group will first be in a brace for a week and the other group will start moving in therapy right away.
Interventions
Groups will be compared to see if immobilization or early range of motion is better at returning to their sport after patellar dislocation.
Sponsors
Baylor College of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Dual-arm randomized intervention comparison study evaluation two rehabilitation protocols for individuals following a first time lateral patella instability episode.
Eligibility
Sex/Gender
ALL
Age
11 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Male and female adolescents between 11-17 years * Medical diagnosis of 1st time lateral patellar instability episode (dislocation or subluxation) * Subjective history of knee shifting, instability, popping out, knee effusion * Apprehension test is positive and has medial patellar tenderness * Referred to the Texas Children's Hospital (TCH) outpatient sports medicine clinic from an emergency room facility, urgent care or pediatrician within 10 days of the injury. * Free of co-morbidities that would prevent or limit rehabilitation including cardiac, pulmonary, psychiatric (except Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD), orthopedic, neurological * Must be able to follow directions and participate in rehabilitation protocol for the 3-month study period.
Exclusion criteria
* Imaging or clinical findings suggest surgical intervention is needed i.e. fracture, osteochondral defect, Lachman or other positive knee ligament special tests.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tegner Activity Scale | 5 minutes | 11 levels of activity from complete inability to function to advanced sports participation |
| Kujala Knee Score | 10 minutes | 13 item questionnaire to rate pain, function, ambulation, and instability |
| Isokinetic Strength using Biodex | 30 minutes | Force of movement is measured in newtons and torque and corrected for body weight |
| Passive Range of Motion | 5 minutes | Measured with goniometer to record full range of motion in knee flexion and extension |
| Edema Assessment | 2 minutes | Measure of knee circumference |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Rating Scale | 1 minute | Pain rated by patient on scale of 0-10. |
Countries
United States
Outcome results
None listed