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Recurrent patellar instability — MRCEM SBA MCQ

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HardKnee InjuriesRecurrent patellar instabilityMRCEM SBA

A 20-year-old basketball player has recurrent lateral patellar dislocation, ongoing apprehension with lateral translation and poor confidence landing from jumps. What is the most appropriate return-to-play decision?

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Correct answer: C — Delay return and complete rehabilitation with specialist reassessment

The best answer is “Delay return and complete rehabilitation with specialist reassessment”. Recurrent patellar instability with persistent apprehension and poor landing control indicates unresolved functional risk. Return should be delayed while strength, neuromuscular control, sport-specific function and specialist management are addressed. Pain resolution or a brace alone does not establish readiness for pivoting sport, where recurrent dislocation and cartilage injury remain concerns.

Reference: NHS: Dislocated kneecap: https://www.nhs.uk/conditions/dislocated-kneecap/