Effect of Early Range of Motion Following First Time Patellar Dislocation

Baylor College of Medicine

Status

Active, not recruiting

Conditions

Patellar Dislocation

Treatments

Other: Early Range of MOtion

Study type

Interventional

Funder types

Other

Identifiers

NCT04294199

H43929

Details and patient eligibility

About

Do teen-age patients with a dislocated knee cap do better with or without a brace?

Full 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.

Enrollment

60 estimated patients

Sex

All

Ages

11 to 17 years old

Volunteers

No Healthy Volunteers

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.