Management of Habitual Patellar Dislocation in Pediatrics

Panji - Sananta (1), Ade Churie Tanjaya (2), Eka Noviya Fuzianingsih (3)
(1) Orthopaedic and Traumatology Department, Faculty of Medicine Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia Jl. Jaksa Agung Suprapto 2, Malang, 65112, East Java, Indonesia, Indonesia,
(2) Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia, Indonesia,
(3) Master of Immunology Study Program, Postgraduate School, Universitas Airlangga, Surabaya, Indonesia, Indonesia

Abstract

Habitual patellar dislocation occurs when the knee is bent and returns to its usual position when straightened. Habitual patella dislocation is 13.5 per 100,000 in children under 13 and 147.7 per 100,000 in children 14–18. This review aims to present a comprehensive and complete literature on the management of habitual dislocation of the patella so that appropriate therapy can be obtained. A complete literature review was used in this investigation. Source search databases are PubMed, Science Direct, and Google Scholar. The literature study shows that habitual patellar dislocation in children is infrequent. Stability requires bone and connective tissue that match the patellofemoral joint. Patella alta, torsional, angular, trochlear dysplasia, muscular anomalies, ligamentous laxity, or ligament damage can produce lateral patellar habitual instability. The quadriceps muscle drags laterally to the limb's mechanical axis. Clinical children with recurrent patellar dislocation may experience a sudden dislocation that "disappeared somewhere." If this condition returns, patients frequently develop unusual knee edema and inflammation. MRI, CT, and plain radiography can diagnose this condition. A CT scan can detect trochlear dysplasia. Joint effusion, osteochondral lesions, medial retinaculum tears, and medial patella and lateral femoral condyle cartilaginous discolorations can be seen by MRI. Conservative or surgical treatment of habitual patellar dislocation depends on the deformity and its effects.

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Authors

Panji - Sananta
panjisananta@ub.ac.id (Primary Contact)
Ade Churie Tanjaya
Eka Noviya Fuzianingsih
Author Biography

Panji - Sananta, Orthopaedic and Traumatology Department, Faculty of Medicine Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia Jl. Jaksa Agung Suprapto 2, Malang, 65112, East Java, Indonesia

Lecturer of Medicine Faculty, Universitas Brawijaya, Malang, East Java
Sananta, P. .-., Churie Tanjaya, A., & Fuzianingsih, E. N. (2025). Management of Habitual Patellar Dislocation in Pediatrics. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 9(01). https://doi.org/10.30651/jqm.v9i01.22714

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