Evaluation includes a detailed history and physical examination maneuvers.
Initial evaluation includes a detailed history, physical examination, and x-rays
to evaluate the groove. Specialized examination maneuvers may be done to determine
the extent of laxity. An MRI may be ordered to evaluate for ligament damage.
Initial treatment is based on the number of previous dislocation events. In those
who are first time dislocators, nonsurgical treatment is indicated. Nonsurgical
treatment focuses on utilizing a stabilizing brace, swelling reduction and strengthening
of the hip and quadriceps muscles.
Surgical treatment is considered for those who have had multiple dislocations not
improved with physical therapy and those with associated injuries such as cartilage
damage. Surgical treatment is done through a small incision as an outpatient. Return
to normal activities occurs between 1 to 3 months.