This article is co-written by Jonas DeMuro, MD. Dr. DeMuro is a certified pediatric surgeon, specialist in emergency surgery from New York. He graduated from Stony Brook University School of Medicine in 1996.
The number of sources used in this article is 17. You will find a list of them at the bottom of the page.
Dislocation of the knee joint or patella occurs when the patella slides toward the outside of the leg, causing the joint bag to swell and cause swelling. Dislocation of the joint is accompanied by pain and swelling, movement in the knee joint is difficult. Often due to a dislocation of the patella, the knee becomes partially bent and you cannot straighten your leg. Of course, there are a number of factors that need to be considered when treating a knee joint dislocation in order to guarantee proper healing and the absence of a secondary dislocation.
What you need to know about the knee joint
For a more complete understanding of how the joint looks, you can do the following manipulations: first squeeze the right hand in front of you into a fist, then cover the fist with the palm of your left hand and wrap it around your fingers. Hand grip will give a primitive but complete picture of the knee structure, where the right hand will play the role of the femur, the left hand will play the tibia, and the fingers of the left hand will appear as tendons. Any minimal gap in the grip of the hands will show the condition of the bones at the time of dislocation.
In fact, the device of the knee joint is much more complicated, since the ends of both bones are covered with cartilaginous growths (articular cartilage on the femur and menisci on the tibia) so that the bones do not wear off during operation. For greater strength, the joint is covered with a patella. Dislocation of the joint occurs due to displacement of the surfaces of this joint, while global damage to bones and tendons with simple dislocations does not occur.
It is formed either in the event of a birth injury, or in the presence of a chronic disease of the muscles and tendons. Weak muscles are not able to firmly hold the joint, and in case of sudden movements do not put the damage. This happens regularly, but a person with such an ailment is always ready for such a turn of events.
Acquired disease (injury)
Trouble can occur not only with those who are constantly involved in sports. A fleeting change in the load on any of the knees is enough, as the knee will take on a force many times greater than the usual. It is completely optional to get a dislocation when running or walking, or get into a car accident.
There is a known case when in the mid-80s a chess player was delivered to the Sports Injury Department of CITO directly from a competition. Jumping out of the chair, he awkwardly caught one leg on his leg, and one of the knees took upon himself all his weight. This case clearly demonstrates that a knee can be dislocated literally out of the blue.
In the event of a sharp occurrence of any, even short-term pain in the knee joint, do not try to continue the movement immediately, but for a while you are at rest. If this is not done, then in 90% of cases the injury can only be exacerbated.
Indoor / outdoor
Closed dislocation refers to all injuries of this kind, in which the integrity of the skin and muscle tissue remains unchanged. Opened outwardly resembles a fracture, since the bone deforms the muscles and skin, forming an open wound. Depending on the severity of the injury, the recovery period is individual in each case.
The worst case. This is a complete rupture of muscles and tendons, often accompanied by bone fractures. In fact, the lower part of the leg just hangs separately from the body, supported only by the skin. Requires only surgical intervention.
It is impossible to independently determine the severity of an injury without the appropriate equipment, even for an experienced doctor. No matter how insignificant the damage may seem, you need to contact a specialist for advice.
Symptoms of Dislocation
With the naked eye, you can notice the following facts indicating a dislocation:
- Change the appearance of the knee. May be accompanied by an unnatural state of the thigh and / or lower leg with respect to the entire body.
- Swelling of the knee or part thereof. When damage is received, the body immediately begins to fight it, forming layers of cells for protection. This causes swelling of the injured area.
- Strong pain. Any attempt to touch the knee or move it will cause severe pain.
- Lack of sensitivity. The victim simply does not feel the palpation of the dislocation, this is due to numbness of the leg around the injury.
- Motor impairment. The knee joint is completely immobilized.
When treating knee dislocation, it is very important to provide immediate first aid to the victim. After all, it is precisely the quality of first aid that will help at times simplify further treatment and reduce the recovery time.
First aid for knee dislocation
The simplest manipulations are carried out directly at the scene and not necessarily by medical professionals. This can be done on their own.
First of all, you need to slightly raise the knee to reduce blood flow. This will delay the growth of edema.
Then it is necessary to place the affected area in a cold environment. For this purpose, ice, a bottle of cold water, or another chilled object is suitable. Cold will reduce the rate of tumor formation and reduce pain.
Further, the knee is fixed in a fixed position and remains so until the arrival of the team of doctors.
Even if you have professional skills, do not try to independently correct the dislocation without conducting an in-patient medical examination. Not having an idea of the severity of the injury, your actions run the risk of aggravating the situation.
Outpatient treatment for dislocation
- The final diagnosis can be made only after studying the injury through x-ray, MRI, ultrasound, etc. Their testimony will allow you to accurately determine the severity of the dislocation. The final decision in the course of treatment is made by an orthopedist with the participation of a neurologist.
- Mandatory is the fixation of the joint by means of plaster or a fixed bandage.
- To eliminate the load on the limb, the use of crutches when walking is prescribed.
- Special procedures are prescribed, such as: electrical procedures, massage, water procedures, physiotherapy, etc.
- Appointed exercise therapy.
The main emphasis at the end of medical procedures is on exercise therapy. Strengthening the tone of muscle tissue is achieved through running, cycling, fitness and swimming. All exercises are prescribed by the attending physician, the loads prescribed by him should neither be increased nor replaced by others. The human body is not a computer, and after a reboot it does not have a specific start time.
Even if after the end of half of the procedures the knee pains disappeared, this does not mean that the knee joint has returned to normal. It is impossible to cancel the procedure, this can only be done by a specialist after re-analysis of the damage.
Treating recurring knee dislocation
In the event of a similar injury more than 2 times a year, this serves as the basis for surgical intervention. The situation is dangerous in that, due to the weakening of muscles and tendons, their sensitivity is lost. A person ceases to feel pain, which leads to a delayed reaction to dislocation. This is fraught with a much more serious injury, not necessarily related to the knee.
Treatment is carried out only by surgery, since often a knee dislocation is only a prelude to a much bigger problem. Probable, for example, atherosclerosis, arthrosis, etc. Surgery involves plastic surgery (muscle, osteoplastic, tendon), transplantation, and various combinations thereof.
Ways to Avoid Dislocation
The bones of the legs have an increased margin of safety, since it is they that hold the weight of the whole body. This weight is evenly distributed on both limbs, but if the load on one of them increases, this stock may not be enough. The likelihood of a dislocation is greater, the higher the person’s weight. The problem of overweight in this aspect is very important, because the knee joints are struggling with a load for which they are not programmed by nature.
To help your body, you should follow the banal rules: moderation in food and minimal physical activity. The leg muscles must not forget about their functions, otherwise they will atrophy and they will have to pay a much higher price for their inaction.
Briefly about the anatomy of the knee
It's important to know! Doctors in shock: “An effective and affordable remedy for joint pain exists.” Read more.
The joint consists of the joint surface of the tibia, condyles of the thigh and patella (patella - a small flat oval bone), meniscus. The joint includes the main, femoral-tibial and femoral-patellar joints, surrounded by tendons and muscles coming from the thigh and lower leg.
The purpose of the knee joint is to distribute the load of the body when standing and walking. The patella participates in the flexion of the quadriceps of the thigh, transferring its muscle strength to the lower leg.
How and why does a knee dislocation appear
Dislocation of the knee joint occurs when the joint is injured, when the articular surfaces are displaced, the integrity of the ligaments, muscle tissue and joint capsule is violated. Dislocation is accompanied by a complete or partial shutdown of the function of the joint, which depends on its type.
- Full, when the knee joint is moved forward or backward by impact, bruising and other injuries, contact between the articular surfaces of the bones disappears.
- Incomplete when the joint is displaced inward or outward, leaving partial contact between the bone surfaces.
- Closed and open, with the preservation or violation of the integrity of the skin and articular bag.
- Complicated - with rupture of muscles, fracture of bones, rupture of the meniscus of the knee.
- Familiar when a dislocation occurs repeatedly due to a joint sprain.
Depending on the cause of the dislocation, there may be:
- Traumatic, when applying an external injury - blows in the knee area, sports injuries, as well as with a strong and sudden contraction of the femoral muscles - in these cases, the patella, the joint between the hip bone and the patella are more likely to suffer. In case of injury due to a fall from a height and in road accidents, there is a dislocation of the lower leg, resulting from its rotation with a fixed hip.
- Pathological when a dislocation of the knee appears with arthrosis, arthritis, tumors and other diseases of the knee.
- Congenital, this dislocation of the knee appears as an abnormality of fetal development.
- Outdated, timely untreated primary dislocation.
Dislocation of the knee joint: symptoms and types
Dislocation is determined by a number of general symptoms that do not depend on localization:
- Pain. At the time of injury, a sharp and intense pain appears, its further manifestations depend on the extent of the lesion, type of dislocation, the cause and severity of the injury, the time of first aid. With movements, the pain in the knee increases.
- Forced pose. The patient takes a position when the leg does not hurt, and tries not to change it.
- Deformed articular region. The appearance of knee changes is affected by the type of injury, the severity of the dislocation, and its type.
- Joint dysfunction - restriction of movements.
- Swelling in the knee caused by blood in the joint cavity or synovitis.
Lower leg injury
Dislocation of the lower leg has its own symptoms. Injury to the lateral and cruciate ligaments (only the cruciate ligament is damaged during subluxation), displacement of the tibia to the sides or back and forth leads to extensive hemorrhage in the articular cavity, and often damage to the neurovascular bundles, which causes numbness of the leg and foot with no pulse in vessels of the foot, pale, cyanotic skin. Paralysis in the lower leg may develop, which requires immediate reduction of the joint until irreversible changes occur. Clinically, dislocation of the lower leg is determined by the presence of sharp intense pain, the inability to move the leg. Extremity with injury straightened, knee deformed. The tibia protrudes forward with an anterior dislocation, with a posterior dislocation.
Dislocation of the patella is lateral, torsion, complete and incomplete (subluxation). Often diagnosed with lateral subluxation of the calyx, which appears with weakness of the ligaments of the knee and X-shaped deformed legs.
Symptomatically dislocated kneecap, if it is not acute, manifests itself only as a “failure” in the joint, when the patient bends the leg in the knee area. Acute trauma of the patella is manifested by pain, restriction in movement, edema due to hemarthrosis may occur.
How to recognize a dislocation immediately and not confuse it with a fracture, see in this video:
Habitual dislocation of the knee
Appears due to the frequent popping of the patella from the physiological channel of the slip, manifested by its own characteristics. Usually this is mild pain, discomfort, arthrosis develops over time. This pathology often affects children and young women. The first episode may be accompanied by acute pain, bending of the knees, inability to straighten the leg independently. In the future, patients no longer seek medical help, but set the cup themselves.
The causes of the appearance of a habitual dislocation in the knee joint are:
- increased elasticity of ligaments,
- the patella above the usual anatomical position,
- damaged and unbranched support ligament of the patella
- flattened sliding paths of the hip bone where the groove directing the patella is located.
A subluxation of the knee joint is formed in the patella and is caused by overstretching or rupture of the patellar ligaments, weak femoral muscles, anatomical abnormalities in the lower extremities. This leads to instability of the kneecap and its subluxation even with minor injuries.
Symptoms: pain and a typical crack in the knee during movement, a feeling of instability in the patella. Over time, a subluxation of the knee leads to arthrosis and synovitis.
Even “neglected” joint problems can be cured at home! Just remember to smear it once a day.
Congenital dislocation of the knee - a severe and rare pathology that develops in the fetus in the second trimester, is diagnosed more often in girls. It is necessary to treat surgically.
This injury is often diagnosed in people involved in sports, high physical activity. It is divided into three types:
- Acute dislocation.
- Inveterate dislocation.
- Habitual dislocation of the patella.
Dislocation of the patella at the first manifestation is characterized by severe and severe pain, with slight swelling of the knee joint, stepwise deformation of the knee. Pain appears with any attempt to move. The patella is displaced to the outside, with time it can return to the physiological position, which does not cancel the visit to the doctor.
How is diagnosed
Diagnosis of knee dislocation and its type is carried out by a set of measures:
- Medical history, visual examination, palpation.
- Radiography, to determine the nature of the displacement and exclude bone damage, differential diagnosis of knee dislocation from meniscus damage.
- MRI or computed tomogram.
- Arteriogram - performed with symptoms of neurovascular bundle damage to clarify the presence of vascular injury.
- Ultrasound of the joint, dopplerography - for analysis of blood flow.
- Neurological examination of skin sensitivity.
- Checking the presence of peripheral pulse - to determine vascular patency.
Diagnosis should be started as soon as possible, as soon as the first signs of a knee joint injury appear, because the complex of therapeutic measures and the timing of knee restoration depend on it.
Rehabilitation and recommendations
Rehabilitation after treatment of a knee joint injury is aimed at returning full joint function and includes:
At the stage of rehabilitation of treatment of the knee composition, massage is often used, a detailed technique of which can be seen in the video:
Exercise therapy can be effective in the treatment of habitual dislocation. A specially designed set of exercises with regular execution allows you to restore mobility to the joint and muscles. Walking is also recommended to develop and strengthen the muscles around the joint. Before walking for the first time, an elastic bandage is applied to the knee.
The patient is fully recovered 3-4 months after treatment and rehabilitation.
The prognosis for the treatment of knee dislocation is favorable if the following recommendations are observed:
- It is necessary to exclude heavy physical exertion, extreme sports, high jumps, etc.
- Before physical exertion, a bandage from an elastic bandage or knee pad is put on to fix the knee joint.
- In case of edema at the end of the day, the knee can be slightly massaged using ointments that relieve swelling.
- Желательно избегать долгого стояния на ногах.
With timely and competent treatment, subsequent rehabilitation and compliance with all recommendations, dislocation of the knee joint will pass without consequences and chronic pain, the knee will perform the same functions.
How is the treatment with damage to the knee joint, says a traumatologist-orthopedist, candidate of medical sciences Yuri Konstantinovich Glazkov:
How to forget about joint pain?
- Joint pain limits your movement and full life ...
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- Perhaps you have tried a bunch of drugs, creams and ointments ...
- But judging by the fact that you are reading these lines, they did not help you much ...
But orthopedist Valentin Dikul claims that a truly effective remedy for joint pain exists! Read more >>>
Causes of pathology
Usually a knee dislocation occurs for the following reasons:
- Injuries during sports (runners and cyclists are most susceptible).
- Falling from height to feet, especially on straightened ones.
- Accidents and traffic accidents.
In some cases, the cause of damage to the knee joint is the weakness of the ligamentous apparatus, caused by genetics.
Regardless of the specific mechanism of damage, dislocation of the knee joint in typical cases is accompanied by the following symptoms:
- Acute pain in the joint, remaining at rest and greatly intensifying with movement. The occurrence of these symptoms is due to direct damage to nerve fibers.
- Impaired mobility. A knee dislocation is accompanied either by a significant decrease in the amplitude of movements, or by the complete inability to move the leg in the knee.
- Loss of foot sensitivity. This is a formidable symptom that indicates damage to large nerve trunks.
- Knee edema associated with impaired vascular integrity and hemorrhage in the joint tissue, as well as the development of the initial stages of the inflammatory process.
When the leg is dislocated, the knee is deformed, in its anterior part, a pointed protrusion (bayonet-shaped deformation) is determined. Due to severe pain and instability, it is impossible to lean on a damaged leg, it is straightened and somewhat shortened. With subluxation of the leg, the leg is slightly bent.
Strong dislocation of the lower leg of the right leg
Suspension of the head of the fibula can be suspected by a clear deformation of the area below the patella, determined by touch. Outside of the lower part of the knee, you can feel and even see the protruding head of the bone, which can easily be adjusted, but immediately after that it takes its previous position, while the soreness somewhat increases.
Dislocation of the head of the fibula on the left leg
If the injury was serious, then the dislocation can be accompanied by fractures of the leg bones. Symptoms of damage in this case are more pronounced and in addition to extremely severe pain include severe edema, more significant deformation and the characteristic sound of friction of bone fragments against each other (crepitus).
Diagnosis and possible complications
At the first suspicion of a dislocation of the knee joint, you should immediately contact the nearest emergency room, where doctors will conduct an initial diagnosis of the damage. It includes:
Examination by a traumatologist. The specialist will find out the details of the occurrence of the injury, as well as visually assess the condition of the knee joint.
Roentgenography. The final diagnosis of dislocation in the knee joint can be made only on the basis of the picture. Using this method, it is also possible to distinguish this injury from other injuries (fractures, ligament ruptures, meniscus injuries and others).
X-ray of the anterior and posterior dislocation of the lower leg
Based on the data obtained, the question of further therapeutic tactics is being decided. The earlier a person turned to a traumatologist, the greater the likelihood of a complete cure, and the greater the chance of avoiding the development of serious consequences.
Untreated knee dislocation can be complicated:
- The formation of hematomas (limited accumulation of blood in the soft tissues of the limb).
- Hemarthrosis - filling the blood of the knee joint.
- Paralytic deformation of the foot, in which it hangs and moves poorly, which inevitably leads to impaired gait.
- Gonarthrosis is a chronic disease in which the tissues of the knee joint (bones, menisci, ligaments, joint capsule and others) are destroyed, weakened and lose their function.
To diagnose these complications, doctors use magnetic resonance imaging and computed tomography, electroneuromyography (ENMG) and other research methods.
Magnetic resonance imaging (MRI) patient
Dislocation of the knee joint requires surgical treatment, since this injury is accompanied by damage not only to the joint tissues, but also to nearby structures - nerves, blood vessels and others.
Dislocation of the leg is a very serious injury, in which there is a high probability of developing shock. Therefore, at the first stage of treatment, anti-shock therapy is mandatory, which includes:
Adequate analgesia using both non-steroidal anti-inflammatory drugs and narcotic analgesics.
The application of the tire from the buttock to the foot, inclusive, to immobilize the limb.
Setting a dropper to maintain the cardiovascular system.
It is strictly forbidden to correct the dislocation of the knee joint in the emergency room, and even more so on their own - this is fraught with damage to the popliteal nerves and blood vessels. Reduction is performed in a hospital under general anesthesia in order to restore the integrity of damaged tissues, after which a plaster cast is applied to the limb.
Further treatment can be either conservative or surgical. Doctors allow you to give a partial and gentle load on the leg only 6-8 weeks after reduction. After at least 2 months after the operation, the plaster cast is removed, and the recovery period begins, which includes:
- medical gymnastics
- Spa treatment,
- supportive drug therapy.
Rehabilitation after removal of the plaster cast. Click on photo to enlarge
Even after the technically successful reduction of dislocation after removal of the plaster cast in the knee joint, excessive mobility and "looseness" often remain, and the leg loses its supporting function. Therefore, in the early stages after the injury, a reconstructive ("reconstructive") operation is performed, which is aimed at stabilizing the structures and tissues of the knee, followed by rehabilitation.
With timely treatment at the emergency room and early surgical intervention, the prognosis for a dislocation of the knee joint is favorable. The severity of the injury does not allow the knee to fully recover the first time, therefore, soon after repositioning, a second operation is often required.
The later the patient started treatment, the greater the risk of developing complications, among which the most formidable is traumatic shock, which poses a direct threat to the life of the victim. In the future, with delayed treatment, the likelihood of a full recovery of the knee is extremely small.
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At the top of the comment feed is the last 25 question-answer blocks. Galina Pivneva, a university degree in human health, a teacher of the basics of health, answers questions under the nickname Alex admin.
We publish responses to comments once a week, usually on Mondays. Please do not duplicate questions - they all reach us.
Good afternoon, tell me, please, is it worth going to the surgeon. Yesterday I squatted sharply to the washing machine, while squatting in my knee there was sharp pain and the sensation that the knee did not lie in its nest. I got up, stretched my leg, was like, there was no pain, but the feeling that the joint did not have its usual position did not leave. When walking discomfort, no more, but I can’t squat down anymore. Today, the knee burns and is slightly swollen, there are no sharp pains, discomfort is present when walking, when squatting.
Hello, Ala. Yes, you need to go for a clinical examination to a traumatologist or surgeon, it looks like you have meniscus damage.
For now, apply cold to your knee for 10, 2 - 3 times a day. This will reduce inflammation and swelling. You can anoint with ointments, for example, Diclofenac and / or Ibuprofen.
If you really have meniscus damage, this therapy will help reduce symptoms, but will not completely cure. Do not drag a specialist visit for inspection.
Hello, my daughter is 10 years old on both knees from the side of the head of the fibula are visible. As if sticking out. I didn’t notice before. What could it be. They only signed up to the doctor. He says that it doesn’t hurt.
Hello Ayym. It is possible that this is just such an anatomical structure of the bones of your daughter and there is nothing serious about it, especially since it does not cause any pain or any discomfort. You cannot determine through the Internet.
Good day to you!
He fought with a friend who exceeded my weight by 30 kg. He fell all my weight on my right foot inward.
There was a crunch and pain in the knee - I thought it was a fracture. I tried to lean on my leg, then took a few steps and realized that there was no fracture. He put cold and afterwards made an vinegar compress for the night. There was pain in the joint at night and in the morning. I can go, but limp. The knee is slightly swollen. You need to leave on Sunday (every other day), and now there is no way to fully check and undergo treatment.
Tell me, please, what with the knee, in your opinion, and what can be if you leave everything as it is. If I leave, then what you can’t do and you need to do with your foot.
Hello Mark. Apparently you have meniscus damage. To clarify, a radiography or an MRI, a clinical examination of a traumatologist or surgeon are necessary. In such cases, the joint is immobilized with at least an elastic bandage, smeared with ointments, for example, Quick-gel. If the meniscus is severely (completely) damaged, surgery is necessary. Contact the clinic for an examination.
Thanks for the wishes, be healthy!
I have a question about the leg. Fell down the stairs, thought a dislocation. We went into an injury, they listened to me there, I told them that my leg somehow became crooked. they say - we will do an x-ray, we will see everything. We saw a fracture of the neck of the tibia. Plaster cast. For 5 weeks.
They removed the cast, made an x-ray. They said the mole has grown well, develop. Ointments there said what, etc.
He came home, joyful. He took off his pants, I looked - and the leg (right) is still a curve. that's like a bracket (and curved inward. There when I removed the gypsum, I did not pay attention, because I was worried a lot.
Again, go into injury swear? Well, they wrote me out without even looking at my leg, but simply at an X-ray.
What to do? And what awaits me.
Hello, Cyril. If the bone has not grown together correctly, it is broken and plaster is put on again, unfortunately. But are you sure that the leg has become crooked? Maybe it still seems? First, contact another specialist with this problem, let them conduct a clinical examination.
Hello, my son is engaged in freestyle wrestling for 12 years. On the right knee, the tibia shows that the bone protrudes slightly top how to be?
Nurlan, show the boy to an orthopedist or surgeon, take an x-ray. It is possible that he simply has such an individual structure, especially if there is no pain and discomfort, but it will not hurt to be checked. Need a full-time examination.
Hello. A 14-year-old girl dislocated a knee cup on her right leg. She contacted immediately, the cup itself sat in place. 4 times the fluid was pumped out under the cup. The swelling went away, but the pain persists, the leg was plastered right away. There may be complications, the doctor does not explain anything. Help advice how to be?
Hello, Reseda. As a rule, knee dislocation occurs due to a displacement of the articular surface of one bone relative to a similar surface of another and often with a displacement, a rupture or other damage to the ligamentous apparatus occurs. In this case, a swelling appears, the limb is deformed, it loses functionality. An injury of this kind can also be accompanied by damage to the capsule of the joint, nerves, blood vessels, meniscus. And if a habitual dislocation of the knee joint is diagnosed, then an undesirable consequence of the injury may be progressive arthrosis.
Therefore, in addition to the plaster cast, the joint will need to be treated well. Very often after one dislocation, the second, third happens, because the ligaments are stretched. When the plaster is removed, ask for a comprehensive treatment: physiotherapy, chondroprotectors (inside and out), applications with bischofite, etc. To judge in advance how the joint will behave in the future, no one can definitely judge, therefore they don’t give you an answer.
Thank you I went to a traumatologist. The head is in place, problems with the joint capsule. I agree - self-medication is evil. Would do business.
As a result of a sports injury two years ago, the lateral meniscus was damaged. Six months ago, I decided on an operation (the pain did not go away when walking, plus the joint began to block even when wearing shoes). A resection of the posterior horn of the external meniscus was performed. Six months passed, the knee continued to hurt. I went to an osteopath and was diagnosed with a dislocation of the head of the fibula. The head sticks forward and up, respectively, the lateral ligament is tense and inflamed. He says that this happened even with a meniscus injury. Manipulations inserted the head into place (there was a click). The pain immediately disappeared, began to walk normally. Continued training. After the last one (squats, jumping from a semi-squat, jumping rope, jumping in a shuttle), the head popped out again. The pain has returned.
Please tell me how to insert it into place on your own? What is the technique of manipulation?
As I understand it, the risk of subluxation is now constant. And to the osteopath is not always possible to get.
Sarybai, in no case do I recommend that my patients try to put the joint in its place on its own. In such cases, you can and should contact the emergency room on duty, or call an ambulance. In any case, you need to consult a specialist - a surgeon or a traumatologist, so that you will be examined and prescribed adequate treatment.