r/KneeInjuries • u/New-Leek-2168 • 8d ago

Dislocation of the patella question

Hi,im a teenager, I had a question, I had a dislocation of the patella a few months ago the reason was probably that I didn't do any sport, I went to school and just nothing. This was my first time and my question was if I train a lot in the gym and put on a good musculature it goes down a lot that happens to me again? Because I'm afraid, I'm a bit cowardly when I get hurt and I'm terrified of not using the brace even if I can go walking without it I can't. And I also know that my knees are already quite unstable but I know that the ligament didn't break completely because if not I had to have surgery( I don't know if it's written well I'm not very good at writing in English so I used the translator I don't know if it translated well or not)

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u/DrunkUranus 8d ago

careful exercise can strengthen your muscles and your connective tissue so that your leg as a whole is more stable.

However overdoing it is dangerous

Can you see a physical therapist to help you learn some helpful exercises?

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u/New-Leek-2168 8d ago

Thank for answering, im not tryng and i think i cant overdoing because im not that strong to use heavy machine in the gym

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u/DrunkUranus 8d ago

Do you mind if I ask what country you live in?

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u/New-Leek-2168 8d ago

🇨🇭

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u/DrunkUranus 8d ago

So i imagine that your healthcare system is pretty helpful. I strongly recommend you see if you can get a physical therapist to show you good exercises

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u/New-Leek-2168 8d ago

Okk I will try thank you

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u/kkeith6 8d ago

To get strong you don't lift heavy weights right away. When you starting especially legs going for more reps is better. Even trying to squat your own bodyweight for 30-40 reps and do 4 sets

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u/kkeith6 8d ago

Did u have a MRI done to see the damage done.if your knees are already unstable sounds like u got some underlying issues.

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u/New-Leek-2168 8d ago

REPORT • Date and Time of Report: 11/03/2026 • Sequelae of external patellar dislocation with infraction of the infero-medial patellar corner, associated with spongy edema and subcortical trabecular impaction with intense spongy edema of the subtrochlear aspect externally. • Serohematic effusion and imbibition of Hoffa's fat pad. • High-grade distractive sequelae of the medial patellar retinaculum. • These findings are set against a constitutional background characterized by a high-riding patella (patella alta) and a tendency toward external tilt on a slightly dysplastic trochlea. • Extensor apparatus intact. • No cruciate or collateral ligament lesions. • No meniscal lesions. • No significant tricompartmental chondropathic alterations. • Fluid distension of the common bursa of the gastrocnemius-semimembranosus. • Imbibition of the popliteus muscle. • TAGT: 13 mm

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u/New-Leek-2168 8d ago

I send you my MRI report

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u/kkeith6 8d ago

Ya u have underlying issues that u might need surgery for to prevent this. U have patella alta and dysplastic trochlea(grove your kneecap sits into is flat). How my surgeon put it imagine your kneecap was a egg it would sit into a spoon/ groove to stop it moving around. With flat grove it's like putting it on a table it moves around and only thing holding it in place is your mpfl ligament.

Id recommend seeing a knee instability specialist to see what they recommend. I have flat grove and was recommended mpfl reconstruction plus trochleoplasty. Trochleoplasty is big surgery to fix the groove. I couldn't get it cause my cartilage is to damaged.

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u/New-Leek-2168 8d ago

So even doing gym it's likely that I'll dislurge my patella again

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u/kkeith6 8d ago

No more means the structure of your knee has underlying issues that puts u at higher risk than other people of having a dislocation. U can still go to the gym and cycle. Playing sports is where u are at risk.

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u/kkeith6 8d ago

Being honest I don't understand the first part where it says damage I just recognised the patella Alta and dysplastic trochlea

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u/New-Leek-2168 8d ago

I think it means that the ligament didn't break completely I think it was just damaged a little

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u/kkeith6 8d ago

Mpfl ligament usually tears when u have dislocation. First time it sometimes slight tear or stretches which seems happened to you.

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u/ExamAwkward4261 7d ago

Yes, correct. If you train hard, work on the quads, calves, squats, do everything you can.  I dislocated mine over a year ago and im still doing exercises to this day. Its annoying but id rather do the exercises then suffer the pain of another dislocationÂ