What is the best method for reducing a lateral dislocation of the patella in a teenager?

The most effective method for reducing a lateral dislocation of the patella involves applying medially directed pressure on the patella while extending the leg. This approach takes advantage of the anatomical alignment of the patella, which is typically positioned in a lateral direction when it dislocates. By extending the leg, the quadriceps muscle is engaged, allowing for a more controlled movement of the patella back into its proper position within the femoral groove.

Applying pressure toward the medial side while the leg is extended helps counteract the lateral pull that caused the dislocation, thus facilitating the reduction. This method minimizes the risk of further injury and capitalizes on the natural movement that occurs when extending the leg, which often helps realign the patella due to the tension in the quadriceps.

In contrast, other methods like flexing the leg or applying lateral pressure may not effectively address the dislocation, as they do not utilize the proper alignment and muscle engagement necessary for successful reduction.