sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Kneecap instability: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care if:

    • The kneecap remains out of place or the knee looks badly deformed
    • The foot becomes cold, pale, blue, numb or unusually weak
    • There is an open wound over the injured joint
    • A major injury leaves you unable to move the leg
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Get prompt medical assessment after a suspected dislocation, even if the kneecap moved back by itself.

    An examination and imaging may be needed to check for a fracture or cartilage injury.

    Persistent locking or recurrent large swelling should be assessed sooner because they can indicate a loose fragment inside the joint.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine follow-up if you have repeated slipping, ongoing front-of-knee pain, difficulty returning to normal activities, or a sense that the knee may give way.

The article also says

Do not force a visibly dislocated kneecap back into place.

Keep the knee supported in the position that is most comfortable while arranging care.

Every sign above is quoted from the sofidex article on Kneecap instability. If you are not sure, err upward — it is always reasonable to be checked.