Patellar Dislocation Clinical Trial
Official title:
Effect of Early Range of Motion on Recovery in Individuals Following First Time Patellar
Verified date | December 2023 |
Source | Baylor College of Medicine |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Do teen-age patients with a dislocated knee cap do better with or without a brace?
Status | Active, not recruiting |
Enrollment | 60 |
Est. completion date | August 11, 2026 |
Est. primary completion date | June 15, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 11 Years to 17 Years |
Eligibility | 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. |
Country | Name | City | State |
---|---|---|---|
United States | Texas Children's Hospital | Houston | Texas |
Lead Sponsor | Collaborator |
---|---|
Baylor College of Medicine |
United States,
Armstrong BM, Hall M, Crawfurd E, Smith TO. A feasibility study for a pragmatic randomised controlled trial comparing cast immobilisation versus no immobilisation for patients following first-time patellar dislocation. Knee. 2012 Oct;19(5):696-702. doi: 1 — View Citation
Cheng B, Wu X, Ge H, Qing Sun Y, Zhang Q. Operative versus conservative treatment for patellar dislocation: a meta-analysis of 7 randomized controlled trials. Diagn Pathol. 2014 Mar 18;9:60. doi: 10.1186/1746-1596-9-60. — View Citation
Erickson BJ, Mascarenhas R, Sayegh ET, Saltzman B, Verma NN, Bush-Joseph CA, Cole BJ, Bach BR Jr. Does Operative Treatment of First-Time Patellar Dislocations Lead to Increased Patellofemoral Stability? A Systematic Review of Overlapping Meta-analyses. Arthroscopy. 2015 Jun;31(6):1207-15. doi: 10.1016/j.arthro.2014.11.040. Epub 2015 Jan 28. — View Citation
Matic GT, Magnussen RA, Kolovich GP, Flanigan DC. Return to activity after medial patellofemoral ligament repair or reconstruction. Arthroscopy. 2014 Aug;30(8):1018-25. doi: 10.1016/j.arthro.2014.02.044. Epub 2014 Apr 24. — View Citation
Saccomanno MF, Sircana G, Fodale M, Donati F, Milano G. Surgical versus conservative treatment of primary patellar dislocation. A systematic review and meta-analysis. Int Orthop. 2016 Nov;40(11):2277-2287. doi: 10.1007/s00264-015-2856-x. Epub 2015 Jul 23. — View Citation
Vavken P, Wimmer MD, Camathias C, Quidde J, Valderrabano V, Pagenstert G. Treating patella instability in skeletally immature patients. Arthroscopy. 2013 Aug;29(8):1410-22. doi: 10.1016/j.arthro.2013.03.075. Epub 2013 May 25. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Kujala Knee Score | 13 item questionnaire to rate pain, function, ambulation, and instability | 10 minutes | |
Primary | Tegner Activity Scale | 11 levels of activity from complete inability to function to advanced sports participation | 5 minutes | |
Primary | Isokinetic Strength using Biodex | Force of movement is measured in newtons and torque and corrected for body weight | 30 minutes | |
Primary | Passive Range of Motion | Measured with goniometer to record full range of motion in knee flexion and extension | 5 minutes | |
Primary | Edema Assessment | Measure of knee circumference | 2 minutes | |
Secondary | Numerical Pain Rating Scale | Pain rated by patient on scale of 0-10. | 1 minute |
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