My kneecap dislocated and is still out of place. What should I do?

Right now: the safe steps

• Stop moving and sit or lie down with the leg supported in whatever position hurts least, often slightly bent
• Do not let anyone pull, twist or push the kneecap; repeated attempts can damage cartilage
• Apply a cold pack wrapped in cloth over the side of the knee
• Call 999 or have someone take you to the nearest emergency department
• Do not eat or drink if you are told you may need sedation

What happens in the emergency department

A doctor usually gives pain relief and then gently straightens the knee while guiding the kneecap back into its groove. This is often quick once the muscles relax. X-rays are then taken to confirm the position and check for a small piece of bone broken off during the injury.

You will usually leave with a support or brace, crutches if needed, and advice to see a knee specialist within the next days.

Warning signs that need urgent attention

• The foot becomes cold, pale, numb or tingling
• Pain becomes much worse after the kneecap is back in place
• The knee balloons quickly and feels tense
• You cannot lift the straight leg off the bed at all, which may point to a different injury such as a tendon rupture

The follow-up appointment in Doha

Within a week or two, book a specialist review. At Aman Hospital, Dr. Gelber examines the knee once the first pain has settled, looks at the emergency X-rays and usually arranges an MRI to check the ligament, the cartilage and any loose fragment. Treatment is then planned: most first dislocations without a fragment are treated with physiotherapy, while a large loose piece may need early keyhole surgery.