{"id":180,"date":"2026-08-30T13:24:14","date_gmt":"2026-08-30T13:24:14","guid":{"rendered":"https:\/\/dryousefmuhammad.com\/patellar-instability\/"},"modified":"2026-09-02T18:31:19","modified_gmt":"2026-09-02T18:31:19","slug":"patellar-instability","status":"publish","type":"page","link":"https:\/\/dryousefmuhammad.com\/ar\/patellar-instability\/","title":{"rendered":"\u0639\u062f\u0645 \u062b\u0628\u0627\u062a \u0627\u0644\u0631\u0636\u0641\u0629"},"content":{"rendered":"<section class=\"acl-hero\"><div class=\"acl-hero-grid\"><div class=\"acl-copy\"><div class=\"acl-eyebrow\">\u062d\u0627\u0644\u0629 \u0641\u064a \u0627\u0644\u0631\u0643\u0628\u0629<\/div><h1 class=\"acl-title\">\u0639\u062f\u0645 \u062b\u0628\u0627\u062a \u0627\u0644\u0631\u0636\u0641\u0629<\/h1><div class=\"acl-subtitle\">Symptoms, Diagnosis &amp; Treatment Options<\/div><p class=\"acl-lede\">When the kneecap slips out of its groove \u2014 partly or completely \u2014 it can be alarming and tends to recur. Understanding why it happens points the way to the right treatment.<\/p><\/div><div class=\"acl-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"acl-cred\"><div class=\"cred-name\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"cred-role\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u0628\u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a | \u0627\u0644\u0637\u0628 \u0627\u0644\u0631\u064a\u0627\u0636\u064a | \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 | \u0627\u0633\u062a\u0628\u062f\u0627\u0644 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/div><ul class=\"acl-cred-list\"><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 \u062d\u0627\u0635\u0644 \u0639\u0644\u0649 \u0627\u0644\u0628\u0648\u0631\u062f \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u0631\u0643\u0628\u0629 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 DKG<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062c\u0631\u0627\u062d \u062a\u0646\u0638\u064a\u0631 \u0645\u0641\u0627\u0635\u0644 \u0645\u0639\u062a\u0645\u062f \u0645\u0646 AGA<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0637\u0628\u064a\u0628 \u0631\u064a\u0627\u0636\u064a \u0645\u0639\u062a\u0645\u062f \u0645\u0646 GOTS<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u062f\u0628\u0644\u0648\u0645 \u0627\u0644\u0641\u064a\u0641\u0627 \u0641\u064a \u0637\u0628 \u0643\u0631\u0629 \u0627\u0644\u0642\u062f\u0645<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>International Experience (Germany &amp; Middle East)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0631\u0626\u064a\u0633 \u0633\u0627\u0628\u0642 \u0644\u0642\u0633\u0645 \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645 (\u0623\u0644\u0645\u0627\u0646\u064a\u0627)<\/span><\/li><li><svg class=\"ck\" viewbox=\"0 0 24 24\"><circle cx=\"12\" cy=\"12\" r=\"11\" fill=\"#d1a24a\"><\/circle><path d=\"M7 12.4l3.3 3.3L17 8.6\" fill=\"none\" stroke=\"#fff\" stroke-width=\"2.3\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><span>\u0623\u0643\u062b\u0631 \u0645\u0646 \u0661\u0664 \u0639\u0627\u0645\u064b\u0627 \u0645\u0646 \u0627\u0644\u062e\u0628\u0631\u0629<\/span><\/li><\/ul><div class=\"acl-actions\"><a class=\"btn-book\" href=\"#book\"><svg viewbox=\"0 0 24 24\"><rect x=\"3.5\" y=\"5\" width=\"17\" height=\"16\" rx=\"2\"><\/rect><path d=\"M3.5 9.5h17M8 3v4M16 3v4\"><\/path><\/svg> \u0627\u062d\u062c\u0632 \u0627\u0633\u062a\u0634\u0627\u0631\u0629<\/a>\n            <a class=\"btn-wa\" href=\"#\" aria-disabled=\"true\" tabindex=\"-1\" data-wa-off=\"\" title=\"\u0648\u0627\u062a\u0633\u0627\u0628 \u063a\u064a\u0631 \u0645\u0641\u0639\u0651\u0644 \u0628\u0639\u062f\"><svg class=\"wa-ic\" viewbox=\"0 0 32 32\"><path d=\"M16 3C9.4 3 4 8.4 4 15c0 2.1.6 4.2 1.6 6L4 29l8.2-1.6c1.7.9 3.7 1.4 5.8 1.4 6.6 0 12-5.4 12-12S22.6 3 16 3zm0 21.8c-1.8 0-3.6-.5-5.1-1.4l-.4-.2-4.9 1 1-4.7-.3-.4C5.5 18 5 16.5 5 15 5 9 10 4 16 4s11 5 11 11-5 9.8-11 9.8zm5.6-7.3c-.3-.2-1.8-.9-2.1-1-.3-.1-.5-.2-.7.2s-.8 1-1 1.2c-.2.2-.4.2-.7.1-.3-.2-1.3-.5-2.4-1.5-.9-.8-1.5-1.8-1.7-2.1-.2-.3 0-.5.1-.7l.5-.6c.2-.2.2-.3.4-.6.1-.2.1-.4 0-.6l-1-2.4c-.3-.6-.5-.5-.7-.5h-.6c-.2 0-.5.1-.8.4-.3.3-1 1-1 2.5s1.1 2.9 1.2 3.1c.2.2 2.2 3.4 5.3 4.7.7.3 1.3.5 1.8.6.7.2 1.4.2 1.9.1.6-.1 1.8-.7 2-1.5.3-.7.3-1.4.2-1.5-.1-.2-.3-.3-.6-.4z\"><\/path><\/svg> \u0631\u0627\u0633\u0644\u0646\u0627 \u0639\u0644\u0649 \u0648\u0627\u062a\u0633\u0627\u0628<\/a><\/div><\/div><\/div><\/section><section class=\"acl-intro\"><p>The kneecap normally glides up and down a groove (the trochlea) at the front of the thigh bone. In patellar instability, it slides out of that groove \u2014 usually towards the outer side \u2014 either partially (a subluxation) or completely (a dislocation).<\/p><\/section><section class=\"acl-strip\"><figure class=\"acl-fig\"><div class=\"im\"><span>\u0631\u0633\u0645 \u062a\u0634\u0631\u064a\u062d\u064a<\/span><\/div><h4>1. Anatomy &amp; Overview<\/h4><p>The kneecap normally glides up and down a groove (the trochlea) at the front of the thigh bone.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u0641\u062d\u0635 \u0627\u0644\u0633\u0631\u064a\u0631\u064a<\/span><\/div><h4>2. Signs &amp; Symptoms<\/h4><p>The kneecap visibly shifting \u2014 to the side, then often snapping back.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u062a\u0635\u0648\u064a\u0631 \u0627\u0644\u062a\u0634\u062e\u064a\u0635\u064a<\/span><\/div><h4>3. Diagnosis &amp; Imaging<\/h4><p>Examination assesses how freely the kneecap can be pushed sideways and reproduces the patient\u2019s apprehension.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0627\u0644\u0639\u0644\u0627\u062c<\/span><\/div><h4>\u0664. \u062e\u064a\u0627\u0631\u0627\u062a \u0627\u0644\u0639\u0644\u0627\u062c<\/h4><p>Rehabilitation: A first dislocation without major damage is usually treated with strengthening and bracing to restore control of the kneecap.<\/p><\/figure><figure class=\"acl-fig\"><div class=\"im\"><span>\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644<\/span><\/div><h4>5. Recovery &amp; Rehabilitation<\/h4><p>After rehabilitation or surgery, a staged programme restores motion, then strength, then confidence in the knee.<\/p><\/figure><\/section><section class=\"clin\"><div class=\"clin-portrait\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/doctor-cutout.png\" alt=\"Dr. Yousef Muhammad\"><\/div><div class=\"clin-body\"><div class=\"clin-eyebrow\"><span class=\"qm\">\u201d<\/span> \u0645\u0644\u0627\u062d\u0638\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u0646 \u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><p>When the kneecap slips out of its groove \u2014 partly or completely \u2014 it can be alarming and tends to recur. Understanding why it happens points the way to the right treatment.<\/p><\/div><div class=\"clin-sign\"><img decoding=\"async\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/signature.png\" alt=\"Dr. Yousef Muhammad\" class=\"sig-img\"><div class=\"nm\">\u062f. \u064a\u0648\u0633\u0641 \u0645\u062d\u0645\u062f<\/div><div class=\"rl\">\u0627\u0633\u062a\u0634\u0627\u0631\u064a \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/div><\/div><\/section><section class=\"faq\"><h2 class=\"sec-h\">\u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629<\/h2><div class=\"faq-grid\"><details><summary><span class=\"dym-lt\">What are the symptoms of Patellar Instability?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">The kneecap visibly shifting \u2014 to the side, then often snapping back. A sudden \u201cgiving way\u201d \u2014 with the knee buckling under load. Pain and rapid swelling \u2014 after a dislocation episode. Apprehension \u2014 and a fear that the kneecap will slip again.<\/div><\/details><details><summary><span class=\"dym-lt\">What causes Patellar Instability?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">A shallow trochlear groove (trochlear dysplasia). A kneecap that sits high or too far to the outer side. Generally loose ligaments and muscle imbalance. A previous dislocation, which raises recurrence risk.<\/div><\/details><details><summary><span class=\"dym-lt\">How is Patellar Instability diagnosed?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Examination assesses how freely the kneecap can be pushed sideways and reproduces the patient\u2019s apprehension. X-rays and an MRI then reveal the underlying anatomy \u2014 the depth of the groove, the position of the kneecap, and damage to the stabilising ligament (the MPFL) \u2014 which together guide whether surgery is needed.<\/div><\/details><details><summary><span class=\"dym-lt\">How is Patellar Instability treated?<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">Rehabilitation: A first dislocation without major damage is usually treated with strengthening and bracing to restore control of the kneecap. MPFL reconstruction: For recurrent instability, the key stabilising ligament is rebuilt with a graft to hold the kneecap in its groove. Bony realignment: Where anatomy is the driver, the attachment of the kneecap tendon or the groove itself may be reshaped.<\/div><\/details><details><summary><span class=\"dym-lt\">\u0645\u0627\u0630\u0627 \u064a\u062a\u0636\u0645\u0646 \u0627\u0644\u062a\u0639\u0627\u0641\u064a\u061f<\/span><svg class=\"chev\" viewbox=\"0 0 24 24\"><path d=\"M6 9l6 6 6-6\"><\/path><\/svg><\/summary><div class=\"ans\">After rehabilitation or surgery, a staged programme restores motion, then strength, then confidence in the knee. Most patients return to sport within three to six months. Modern stabilising surgery is highly effective at preventing further dislocations when the underlying cause is correctly addressed.<\/div><\/details><\/div><p class=\"disclaimer\">\u0645\u0644\u0627\u062d\u0638\u0629: \u0647\u0630\u0647 \u0627\u0644\u0645\u0639\u0644\u0648\u0645\u0627\u062a \u0644\u0644\u062a\u062b\u0642\u064a\u0641 \u0627\u0644\u0639\u0627\u0645 \u0641\u0642\u0637 \u0648\u0644\u0627 \u062a\u063a\u0646\u064a \u0639\u0646 \u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0637\u0628\u064a\u0628\u0643.<\/p><\/section><section class=\"refs\"><h2 class=\"sec-h\">\u0645\u0631\u0627\u062c\u0639 \u0637\u0628\u064a\u0629 \u062f\u0648\u0644\u064a\u0629<\/h2><div class=\"refs-grid\"><a class=\"ref-cell\" href=\"https:\/\/www.aaos.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aaos.png\" alt=\"AAOS\"><span class=\"ref-desc\">\u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u062c\u0631\u0627\u062d\u064a \u0627\u0644\u0639\u0638\u0627\u0645<\/span><span class=\"ref-url\" data-no-translation=\"\">aaos.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.esska.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-esska.png\" alt=\"ESSKA\"><span class=\"ref-desc\">European Society of Sports Traumatology, Knee Surgery &amp; Arthroscopy<\/span><span class=\"ref-url\" data-no-translation=\"\">esska.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.sportsmed.org\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aossm.png\" alt=\"AOSSM\"><span class=\"ref-desc\">\u0627\u0644\u062c\u0645\u0639\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u0637\u0628 \u0627\u0644\u0639\u0638\u0627\u0645 \u0627\u0644\u0631\u064a\u0627\u0636\u064a<\/span><span class=\"ref-url\" data-no-translation=\"\">sportsmed.org<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.dkg-online.de\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-dkg.png\" alt=\"DKG\"><span class=\"ref-desc\">\u0627\u0644\u062c\u0645\u0639\u064a\u0629 \u0627\u0644\u0623\u0644\u0645\u0627\u0646\u064a\u0629 \u0644\u0644\u0631\u0643\u0628\u0629<\/span><span class=\"ref-url\" data-no-translation=\"\">dkg-online.de<\/span><\/a>\n        <a class=\"ref-cell\" href=\"https:\/\/www.aga-online.ch\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" class=\"ref-logo\" src=\"https:\/\/dryousefmuhammad.com\/wp-content\/themes\/dym-riyadh\/assets\/img\/ref-aga.png\" alt=\"AGA\"><span class=\"ref-desc\">\u062c\u0645\u0639\u064a\u0629 \u062a\u0646\u0638\u064a\u0631 \u0627\u0644\u0645\u0641\u0627\u0635\u0644 \u0648\u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0645\u0641\u0627\u0635\u0644<\/span><span class=\"ref-url\" data-no-translation=\"\">aga-online.ch<\/span><\/a><\/div><\/section><section class=\"rel2\"><h2 class=\"sec-h\">\u062d\u0627\u0644\u0627\u062a \u0630\u0627\u062a \u0635\u0644\u0629<\/h2><div class=\"rel2-grid\"><a class=\"rel2-card\" href=\"\/ar\/acl-tear\/\"><div><div class=\"nm\">\u062a\u0645\u0632\u0642 \u0627\u0644\u0631\u0628\u0627\u0637 \u0627\u0644\u0635\u0644\u064a\u0628\u064a \u0627\u0644\u0623\u0645\u0627\u0645\u064a<\/div><div class=\"lm\">\u0627\u0639\u0631\u0641 \u0627\u0644\u0645\u0632\u064a\u062f <svg viewbox=\"0 0 24 24\"><path d=\"M5 12h14M13 6l6 6-6 6\"><\/path><\/svg><\/div><\/div><div class=\"th\"><\/div><\/a>\n        <a 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