What is the treatment for patella instability in children?
The treatment for patella instability in children will vary depending on the child’s age, skeletal grown and if they have open physis (growth plates). The following treatments may be considered:
If the knee is stable and knee dislocation has only occurred once, the treatment may be as simple as a knee brace and physical therapy. For teens with nearly closed growth plates Dr. Vidal may recommend a brace for 3-4 weeks, allowing the knee to heal. Patients may use crutches to keep the weight off the healing knee and, when appropriate, physical therapy should focus on the strengthening of the thigh muscles, gluteals and the vastus medialis obliquus muscles.
If non-surgical methods have failed to alleviate pain and If the child continues to experience patella instability or recurrent dislocations, surgery may be recommended. The type of surgery will depend on the cause of the patella instability. Some of the options that may be considered are: