For a field relocation of a patellar dislocation, in what situation can you perform the relocation?

The relocation of a patellar dislocation is permitted in the situation where there is a lateral dislocation without associated trauma to the patella. This is because lateral dislocations tend to respond well to reduction techniques and are less likely to have complications when the patella is not damaged. In this case, muscle relaxants and simple manipulation can usually restore the patella to its normal position without significant risk of further injury.

In cases of medial dislocation, the presence of trauma often raises concerns regarding possible associated injuries, such as fracture or soft tissue damage, which may complicate the relocation process.

Similarly, performing relocation on any type of patellar dislocation indiscriminately overlooks the specific considerations needed for each situation, including patient safety and assessment of the surrounding structures.

Lastly, relocating a dislocated patella solely upon the patient’s request disregards professional medical judgment and the necessary clinical assessment to determine whether it is appropriate and safe to proceed with the relocation. Always, the decision must be based on clinical guidelines and best practices rather than patient preference alone.