Dear Stephen
Has your client had a foot assessment to see whether poor knee alignment can be
attributed to poor foot alignment, probably calcaneal valgus? Starting with simply a
high-cut athletic shoe is a good start. Providing prefab or custom foot orthoses is
also worth considering. AliMed has a large variety of prefab knee braces.
Pat McKee, M.Sc., O.T.(C),
Assistant Professor,
Department of Occupational Therapy,
University of Toronto
416-978-1817
Author of: Orthotics in Rehabilitation: Splinting the Hand and Body. F.A.Davis,
Philadephia, 1998
On Mon, 14 Dec 1998 11:27:35 -0500 Stephen Fletcher wrote:
> From: Stephen Fletcher
> Date: Mon, 14 Dec 1998 11:27:35 -0500
> Subject: Patellar dislocation
> To: [email protected]
>
> Hello.
> I have a patient who is an 8 y/o female who has chronic bilateral patellar
> dislocations, laterally. Appears to be a bony groove problem and the
> surgeon does not wish to do surgery at this time. The Physical Therapist
> has requested a strap with a butress to hold the patella in.
> The patient has tried a neoprene sleeve, but had a bad skin reaction to
> the neoprene.
>
> My question:
> Can anyone give me the name(s) of any other styles of knee sleeves
> with patellar pads that are not neoprene(keeping in mind this is an 8 y/o,
> so the sleev would have to be pretty small)
> Thanks in advance for any ideas.
> Steve Fletcher, CPO
> Shands Hospital at the University of Florida
