Nuffield Health Bristol Hospital

Almost all vitamins and minerals and essential fatty acids such as omega-3 fatty acids are essential for immune function. In the context of the COVID-19 pandemic, the importance of nutrition has been highlighted, but vitamins and minerals are often forgotten or intakes assumed to be adequate. Dietary surveys in the UK show that intakes of these essential micronutrients are below recommended intakes particularly in some population groups.

The recognition and treatment of iatrogenic medial subluxation of the patella following lateral retinacular release may be difficult. The diagnosis even by magnetic resonance imaging may be difficult. The use of a medial patellar stabilising brace may be helpful in the diagnosis, alleviating symptoms in the short term and to gain the confidence of the patient. A technique of direct repair that was used successfully is described in a case report.