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Dislocation of the knee joint

Healthwise
By Jan Nissl, RN, BS

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A dislocation occurs when a bone is pulled or pushed out of its normal relationship to the other bones that make up a joint. It takes great force to dislocate a knee joint, and complete dislocation is uncommon. A dislocated knee joint requires emergency treatment.

Symptoms of a dislocated knee include:

  • Severe pain.
  • An odd, misshapen appearance or a bone that looks out of its normal position. The dislocated knee may look very different from the opposite knee.
  • A feeling like something popped or feels out of place.
  • Inability to bend or straighten the knee.
  • Cool, pale skin or numbness and tingling in or below the affected knee.
  • A feeling of severe instability.

Dislocation of the knee is a serious problem even if the bone pops back into place.

  • Soft tissues in or around a joint, such as ligaments, tendons, muscles, and cartilage, may stretch and tear.
  • Nerves and blood vessels can be damaged.
  • A piece of bone at the base of the joint may break off and lodge inside the joint or cause a fracture that extends into the joint.

Immediate medical treatment may involve:

  • Putting the bone back in place (reduction) if it hasn't already popped back in place.
  • Splinting the joint.
  • Immediate referral for further evaluation and testing to check blood vessels and nerves or for surgery to repair damage.

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer William M. Green, MD - Emergency Medicine
Specialist Medical Reviewer H. Michael O'Connor, MD - Emergency Medicine
Last Updated September 19, 2007
Last Updated: 09/19/2007