Patella Alta: A Comprehensive Review of Current Knowledge. 0000013982 00000 n Adobe InDesign 6.0 Adobe InDesign 6.0 saved Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. xmp.iid:61B952D220301168BC05A9DFDBC72DD4 If you struggle with medial or lateral patella misalignment, we strongly recommend this short and lightweight knee brace. It attaches to the apex of the patella -the lower border - and the tuberosity of the tibia bone - the bony bump you can feel under the patella. Adobe InDesign 6.0 w91fbv8AFX/3E6f/AOwH/vul93ydlffMPdX27/FX/wBxOn/+wH/vul93ydlffMPdX27/ABV/9xOn WQyp3TiWEknRpaC9znuJH9Zu4/GUlMMl1RrAf0t94saLH17WOhzi8wdx2zJ8e6Sm7XjYzxXa7Hax Y43ehlvc1ppDG3WkFu59c7X2tbxru580uIqpDvx7cYfqvUQD7wzfa152NLPpetInwJE8+aXEVU2s pw;xkfM`MM`MM`MoEXDXDX9O'fFS#}0#{37#{37,gxCytCH?go6'8|5e~ endstream endobj 92 0 obj <>stream Anandkumar S, Miller J, J Werstine R, Young S. Physiother Theory Pract. /FirstChar 1 hb```a``g`c`Y B@2LmYLFVu.)7\%?uSg!M\*:@ cR1! P 2011-06-24T13:15:27-07:00 /FontWeight 300 2011-06-24T11:44:09-07:00 0000003914 00000 n xmp.iid:EC423A7A20251168B34BA564586C664B << UkpSSmm+vqe6w1upif0e4HiQdYb4fFJSg3qUsg0FkAvJ3Oc7UzBG0cRrHyCSmAb1rcwu+ybQZeGh proof:pdf Start each exercise slowly. eNZ/BJTEuFhYcbqAivY6we14c3SJJmN2ny48UlMzZXdbvqzgG6PLW7SNsbuZ4O4GUlJmZeMyv9Jk Q2mvqQb3bV38Bcn4yx5Hd6z/AMo9C/8AThZ/7Y56kWMfqr/4l+h/+EcX/wA8NSU6lmPRcQbq2WEA FJTj/wCMJrn/AFYvY0wS9gEfFNkaC6O7486u3AoZk411jS7a6G6H3FuqPuiWkgoQMdQXYw+tPftN This abnormality may cause increased pressure between the back of the patella and the trochlea, irritating soft tissues. N73h@S+"Ob+@i+2H] 0c;J9RB==^";Gg!#Uwo{A>a) Ez7RruSU+c/40H7OvUEmAMNhP/blyaRZXx0Dx1X2rqHTrxU4hz3D0hJAAYQ7T8U8kRkFouUW50n6 0000048571 00000 n 2011-06-24T11:43:15-07:00 GBQSFBQUFBIUFBseHh4bFCQnJycnJDI1NTUyOzs7Ozs7Ozs7OwENCwsQDhAiGBgiMighKDI7MjIy UQgiRcHpdzcPFa28ahxBHMGfJQ5JXJlgKDsY97qq7XVEbchu2P7lES2I/KjpxBaTM/eU62Knt/qB "/R[U/_7o/> :}&*#&F9e5nu.. Y2/zb/6p/Ikpy+s/8o9C/wDThZ/7Y56SmP1V/wDEv0P/AMI4v/nhqSnQvx8e/Jq9fGbdsa5zL3Bj /metadata 0000039340 00000 n 0000008601 00000 n 0000007927 00000 n A lateral view from the side should be used, with the knee in 30 degrees of flexion. stream Incorrect taping method as performed by the patient. GwP9fPRKSWWZLqgcfIoDhy5wLmkmCOHt7eaSlqbMp9m1+RQ7j218xHm53f8A3pKU2rqoIL76iZBI Would you like email updates of new search results? 0000022714 00000 n Slide a rolled up towel or blanket under one knee so that it is slightly bent. xc``d``sf`c`P @16 lj'fob``2d&l 1FO\ MNmOeXee+(vY\YaIamQ8 .;a# +RTlVNvodurdO10ETBj84DwSUzs/m3f1T+RJTl9Z/wCUehf+nCz/ANsc9JTH6q/+Jfof/hHF/wDP The patella is therefore at risk of being pulled sideways over the low edge of the groove as the knee bends, and can partially or fully dislocate out of position. 0000239475 00000 n 2011-06-24T13:04:42-07:00 IB9UiJ3dmgN03eCSk9WIasl+Sb7X7wR6T3SxsndLWx8klNhJSklKSUpJSklNe11WViWgPspYd9Tr Bookshelf 4fxX+yfVu39BbXTSyn9nvdeyx25/rbRkA+8iAPAacpcUx+KjDEdK7NjNb0trcevIpxS3Exs6xuNX 0000037683 00000 n /FontDescriptor 173 0 R 72.00 in normal and crouched walking. Were here to help! The C-shaped buttress of this knee brace can be moved for either lateral or medial patellar misalignment. But with patella alta, because the kneecap is sitting higher than normal in the shallower part of the groove, there is less sideways stability. _ gZ EJVh ,C.;J|`5n?+=K:R1XV)_K39^i,?l:{t1>gk{xt6M%[ud}i%2=;>EW%eicjs,kW.7wn[#o72+r^Ws3B~_tpdU:8:8~+[=Xj,t kZAVP+t85%,,,,,,0 po{+(tV8+JgYtV8+JgYtV8%h#v-%kKDGCkqrV+ ( endstream endobj 91 0 obj <> endobj 92 0 obj <> endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <>stream 0000005050 00000 n stream xmp.iid:EC423A7720251168B34BA564586C664B 0000038541 00000 n 0000004461 00000 n endobj YWN6TTYBY2z3FkO9MbDVpOgPuSUytdntJFGFQ4Na30y63b7uXDSl0QUlJqWve5xyaKqyCDXtIcTI wOX1n/lHoX/pws/9sc9JTH6q/wDiX6H/AOEcX/zw1JToPtxh1CqhznDJdTa+tgL9hra6kWEgeyQX Webthe risk of dislocation at early knee flexion [19]. hbbf`b``1@ endstream endobj 88 0 obj <>/Metadata 13 0 R/Pages 12 0 R/StructTreeRoot 15 0 R/Type/Catalog/ViewerPreferences<>>> endobj 89 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 90 0 obj <>stream 72.00 GB3SUoXddFRBpqNpcQDw0CJBLfV11Mc9vNJTLIt61XtGPVVbo/cT7RO72GDb+7zqkpI9/VB6jWtq /FontFile3 174 0 R xmp.iid:74117FEB2007116883808B8213850D82 Knee-Pain-Explained.comis a trading name of Wilson Health Ltd.All rights reserved. aQNpnvr/AK6IGJCgbbSCVJKUkpSSlJKUkpSSmoOl4AfbYKRvvn1HSZM7gdZ0+meElL4fTcPAc92K 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000006882 00000 n An official website of the United States government. KZ0PynPczIra0BoIe10gklwLY50AH3pKTpKUkpxLsMuybSOlNeXWB7rTbBcJe3c0/DUtkcpKZjDe Follow-up care is a key part of your treatment and safety. /MediaBox [ 0 0 836.22 595.276 ] Journal of Biomechanics. Subscribe to our email list for exclusive offers and tips on healthy healing. /StructParents 0 << 0000078771 00000 n /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA >> If you are not steady on your feet, hold on to a chair, counter, or wall while you do this exercise. Og9PjXcgDISpcRjlC/5fm2zj/Vq3Jsx/smMxv2y/Ea9tr5FTajY2z+cid4gHjsheQDfou4cRNUN6 The 28 reviews described patella alta mostly with ISI (75%) or CDI (64%). /BleedBox [ 0 0 836.22 595.276 ] Biedert RM,Tscholl PM. 164 50 SSlJKRsx6K63VV1tYx5c5zWgNBdYS55IHdznElJSNmBhscXsqaHHdJ/4wy/70lLP6bhPMuqGoLSN saved /ca 1 Knee pain associated with patella alta (PA) can limit involvement in sport or work activities and prevent an individual from performing basic functional tasks. 0000053729 00000 n 0000006268 00000 n wV(aH\| yfew`8s/D"~^D3NJZ+|Ty2|{1*\H*x_sX},}eSw$WCvxe5/vQ;SXyk36i\~.Ay97wqlrw,^~W>n[|KHL'{12TKnr\$5-EAQ#AnyW\S]`+ 0000218304 00000 n pJTzzuq/V/GzbTbn5DbWWWtfUXWlgdIDgGhu3SdPj9yUluyOlUfbK35+S11LWuvIe9xqDSHe0bSP /SA false /metadata ;4vGAJL*|"vV/Dz*'YtyGV&8,t F2IMW(bVfjhTgyNFOa?q{U':E`S~m|3. vIq6Y2u2vc5m24NDS4FsODYB7acTryElNt2T1ABm3Cku3b/0rQGwRt7ayDKSnO+tD7D0D1Lm+nYT kSNvOnEpKSMPUPdvbSOdkOcdJ0n2jskpar9pS31xRGm7YXdyZAkdgkpgw9YJBe3GaD9IBz3beODs Repeat 20-30 times. Top Tips On Getting Up & Down Stairs With Knee Pain. xmp.iid:0B71896B20321168B34BA564586C664B Sit with both legs extended in front of you. endobj Thank you!" kpSSnIvzn1ve05jwfVgBmJY8NAJbslrXT2k/H5JSfKyH4jSLclzY3P3Ch1ntdO1vsHIj4pKRDLuD Lie down with 1 leg bent at a 90-degree angle with your foot flat on the floor and extend your other leg fully. You should be able to slip your hand in between the floor and the small of your back, with your palm touching the floor and your back touching the back of your hand. xmp.iid:EC423A7B20251168B34BA564586C664B LDusBaCHEay7TVJS/wBmxoI9JkE7iNo5JJnjxKSl6MejFr9LHY2pkl21ogAuMmAkpIkpSSlJKUkp m1vBsc1lJDGzO08xInU/70pkHZmyt7uqVwJqe9jGODrQ5xIPhDRETp5pKXe670y0dWrY58vZYWMi 0000038356 00000 n 0000033949 00000 n xmp.iid:EC423A7820251168B34BA564586C664B %%EOF AFHZKTb8/azYKCY943ujv9H2/BJSz7c8BmwY5cY3gvcIJcPo+3X2z80lMX29RDi1gxmhxIrLnuk8 /op true /BM /Normal i@E-`u$Je| zGx%EA=#kJa6"2yCJr|VeXNR,N>5(A4{`? The three lines indicate the superior margin of the patella, the inferior pole of the patella, and the tibial tubercle. There are a number of other conditions which cause anterior knee pain and present with similar symptoms to patella alta. 72 0000040329 00000 n /E 51657 63muxpY9phzXCCCOxBS3URTFFCklKSUyfXZXt9RpbvG5u4ES09x5IWkghiihSSmTq7GsbY5rgx87 JT4lhjjML0/tbT6fq27JdSMPGa37dbhh4tf/ADOzeLf5yJ3cHhNudb9LX8OK6ob00up4XQqvq9Xd endstream endobj 3 0 obj <> endobj 6 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 7 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 27 0 obj <>stream WebRehabilitation Protocol for Patella/Quad Tendon Repairs This protocol is intended to guide clinicians through the post-operative course for Patella/Quad Tendon repairs. ZJS6SlJKaNl7/VdT9torfubsrgbwDw0h1mu6PAJKYvyLXBjK8/GbYdrT7QdziZhrfV/OHbVJS9We See this image and copyright information in PMC. >> HHS Vulnerability Disclosure, Help saved /CapHeight 700 Lift the lower part of your affected leg until your leg is straight. Various surgical techniques are available to address the specific underlying pathologies causing patellar instability. / /metadata d7g4+nW4O3u2j80TpGuqSmLrumOp9A5uWS6ZsZ6gsO0STLKx+a06/d2SUzy3dOdc+t+ZkU2t9xDH / 0000001733 00000 n Then slowly straighten your affected leg by tightening the thigh muscles of that leg. Adobe InDesign 6.0 startxref Correcting inward movement of the knee during squatting is a primary goal. SzAvoeDtY5wIY0ND367XloEuI+aSnXSUpJSH0nMpcx1z3FznOD3QCA5xcGDYGaCdo7x3nVJTSfa0 This fqp/5dYP/sZX/wClElK/50/VT/y6wf8A2Mr/APSiSlf86fqp/wCXWD/7GV/+lElK/wCdP1U/8usH The exercises for patellar tracking disorder, which fix kneecap instability, are not complicated and can be done at home in 20 minutes or less! 0000001406 00000 n 2016 Jan;31:74-8. doi: 10.1016/j.clinbiomech.2015.09.018. 0000133921 00000 n bu7+H46JSSw9S9X9EKPTAP0i7cTGnAgfikpliDJFbhksrrIcdgpJLdvY6tbqUlJbf5t/9U/kSU5f 0000003483 00000 n Sign In 87 0 obj <> endobj xref In patella alta, the kneecap sit higher than normal in the patella groove. Rest for up to 10 seconds. Ice Packs:regularly applying ice packs can help reduce pain and inflammation with symptomatic patella alta - across. 0000005516 00000 n xmp.iid:D4656DF2201B1168B34BA564586C664B Adobe InDesign 6.0 165 0 obj uuid:db03cf78-26df-4a78-abaa-f236e97c1c97 gcucYA/o/ikcGQC6THmsUjQLZ6t9WPq3Xn9FZX0nBY27OeyxrcaoB7Rh5r9rgGajcwH4hRM6qP8A mwhjNSU0mgvAJLZ+zYltjfRva51ANkuENLoc1zQT5FTS5TIcQlW5a8PiGGPMGF7DfxQ1Yz6Kh6kF official website and that any information you provide is encrypted Adobe InDesign 6.0 AAy4y4/MpKXDK+AG6+AGsJKW+z48FvpMg8jaIOs/lSUuaajyxpnTgeX9ySlelUdCxvM8DkCPyJKV Webexercise. ])zf %PDF-1.4 % endobj ;TtLKA^JGv(1s7G.+|MOd6ck_vv=M{n~S#omxav#L_`T?GD!obd'n>~sdi: f+{CVy$'#35XljKcy=R\pd[Od';iKG :s8W6 36`'A4f`S&7>O(e)q)KsGJ1sm:/!eU4tz-]i=oN^vdw>ObXMY)k|Dx-(:A> H'j Adobe InDesign 6.0 Your use of this information means that you agree to the Terms of Use and Privacy Policy. Adobe InDesign 6.0 .DqbU(c>edM"C %DF^KD8t#!&K/O0@tqRR z1wJg5SL/&/ endstream endobj 136 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(pCeLPn*"i}5)/P -3388/R 4/StmF/StdCF/StrF/StdCF/U(p 6NUas )/V 4>> endobj 137 0 obj <>>> endobj 138 0 obj >/PageWidthList<0 419.528>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/TrimBox[0.0 0.0 419.528 595.276]/Type/Page>> endobj 139 0 obj <>stream Place a single-step footstool on the floor. The common causes of patella alta are: Typical symptoms of patella alta include: To diagnose patella alta, your doctor will start by examining your knee. 2011-06-24T11:32:51-07:00 0000009474 00000 n Supportive braces. dGdSHHCtIJ1a/e5028l0vPc6ntz5pe5JXCGzYcHKqLbKrixreCHs3CRodWk6numpQto6SabCMS/0 [5] [6] It often results from a non-contact injury to the knee. ACvyv+2bP/Ipe5Dur2cn7pV+wut/+V+V/wBs2f8AkUvch3V7OT90q/YXW/8Ayvyv+2bP/Ipe5Dur Visit the front knee pain diagnosis section to find out more. Tie the ends of an exercise band together to form a loop. Adobe InDesign 6.0 VtNEWUVX7rSWvbY973A1iNRY9zddvM66cpEkpprj7OwhwwswG8Fz/Tc/a03Dc8wbWwfeRoJEeQQU /;/metadata Kaiser Permanente is not responsible for the content or policies of external websites. Repeat 8 to 12 times, at least 3 times a day. << /BM /Normal 0000016912 00000 n 7 Patellar Tracking Exercises That Will Improve Your Life Quadricep Contraction (Quad Sets) Sit with both legs extended in front of you. 6u+tw2l8h7SNomXc8aJUVWsc/BG6ciobTDpe3QyBrr4lLhKrYftTpsWO+10RTPqn1GwyOd2uiXCe Webpatellar tendon of the knee. 2011-06-24T13:13:29-07:00 pjZ/Nu/qn8iSnL6z/wAo9C/9OFn/ALY56SmP1V/8S/Q//COL/wCeGpKdJ2OHZbMv1LAa631ekHfo November 2016, 2. Adobe InDesign 6.0 Note: For straight-leg raise exercises, your physiotherapist may have you add light ankle weights as you become stronger. %PDF-1.4 % Unauthorized use of these marks is strictly prohibited. Wl~>t6]Peo^{! s6g4fpMathER+k3DmP3B+br+CSkrbMk3+m6kCqB+k3A6+G3nw/15Sk21vgElK2t8AkpW1vgElLpK 0000003295 00000 n H\ }l/i&$P6+lsQKV0x#?hA64N"txmsPZ)~ZI,6 AV'5vf)taunx@aOF/}meZQ_eCEy]kDFqU14_KcbYF.2}=qqL8i-oi Qf'2xeyRP ??By3%9;GGLf `) endstream endobj 243 0 obj <> endobj 244 0 obj <> endobj 245 0 obj <> endobj 246 0 obj <> endobj 247 0 obj <>stream /Root 165 0 R Mjs7Ozs7Ozs7Ozs7Ozs7Ozs7QEBAQEA7QEBAQEBAQEBAQEBAQEBAQEBAQEBA/8AAEQgBAADGAwER /;/metadata AGgcBp08AlxKphVT0S6p2Fi3WVvtDngw5rve30S+HNGh9T+7hLjNqpL9p6blkivNyBuPrkML2+18 UkpSSlJKUkpSSkOVmY2FWLcp/psJIBgnUBz/AM0Hs0ogEolIR3XoyKMqsW47w9h7hIilAg7JEEuN C1q 2T99[AS?cL>C. nb?-zmCr J8Zs3OPA)4r76sNiK0@=`c";Y*hs.P8*2q /BM /Normal Here, the groove is much shallower than further down, thus providing only a very small barrier each side of the kneecap. The kneecap is surrounded by the quadriceps tendon and rests in a dip on the front of the lower thigh bone, the femur, forming the patellofemoral joint. I will be putting the stretches and exercises into practise. u8UbKZxc/c4ubsbY/czds3F7hft8Pzj3jWUlMb68T7S6q3Hz3G0kOe2y70/00T9G0NEF0CPo9ohJ %PDF-1.3 % 2011-07-18T12:31:03-07:00 hb`````sf`c`*gd@ A lZ50F^,LtvImasf2y=Etso(e+-`](j)32Di] H3 MdtIaXkgciRPmQkpM5zX0l7SC1zZBHBBCSnM6z/yj0L/ANOFn/tjnpKY/VX/AMS/Q/8Awji/+eGp Pain on the front of the knee after sitting for a long period of time with your knees bent, such as one does in a movie theater or 2011-06-24T13:12:55-07:00 -EMGJ , dmg40>KI&Cw:v}e;u}im!xLCZOXL^oz?tOwv2UUuG=N1enT9fheUJacq{gYUZG3h;T@[H"^#6;QOS^I=M 5dLx9!B"Fs3EEE/ s\ k?yCpr>>AEOg'Y ,}}>>AqN1S`2~iq#>! Hold that position for about 5 seconds, and then slowly slide back up to the starting position. This case report describes the use of patellar taping to treat an individual with PA. However, you should begin exercising once your symptoms resolve and youre cleared to exercise by your doctor or physical therapist. 0000084312 00000 n Adobe InDesign 6.0 Not familiar with all this medical jargon? DUlOk6yMuur1axure70SP0jtprG9p3fRbuh3t/OGo7pTSyMnPF5rx7sVrQ/3es4hwYCyYaGjsT35 173 0 obj 0000039991 00000 n Hold your leg straight for about 6 seconds, then slowly bend FZAjQED3E+fKSmdjOpF36GyoD3/TaT/xegc356pKYVs6q25nqWUvp3O3gNIfthu0B0gczOnh8UlN ReferenceStream 0000018659 00000 n xmp.iid:EC423A7C20251168B34BA564586C664B 0000039437 00000 n 256 /Type /ExtGState 0000218507 00000 n 2011-06-24T13:14:58-07:00 XAOPX9ZPrARrm2ceX9yFpoM3/WXrzGtjKte97gxjGxLnHgDRAypIjZVX9ZevWM3farWOBLXMdtlr 9D/8I4v/AJ4akp0MijKtfNOSaG7QCGsa4zuBJBfP5oI4SUhdh9Qda54z3Ma7dDW1s0BJLPpB3AMH To be eligible for discounts, please enable JavaScript for your browser. /;/metadata 0000008045 00000 n << /O 166 The patient was also instructed on specific exercises and mobilizations. 0000002942 00000 n XuQ7q9nJ+6UlfS/rFVVbRXhZja79otaKbIcGnc2fb2KBnAncJGPKBVFH+wut/wDlflf9s2f+RR9y Claire, US, "Your website is a gold mine, thank you very much." /Info 163 0 R 0000009390 00000 n Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. a7MDoP2Glz2Y3omvGdXkC6b35D3sF9b6/U0aAXfmiEeKdrRDHwjatPtS9LwuhZ2RmG+nDqoZe7Ha As the knee moves, the patella slides up and down this groove. /Length 4218 Adobe InDesign 6.0 YIqcBp7TEfBJTmdZ/wCUehf+nCz/ANsc9JTH6q/+Jfof/hHF/wDPDUlOqXuFraxW4tc1zjbLdrSC eQ1ux0QC4hu6W+rxM9/mkpE6zrYax7a6QSD6jCOXbg1sO9Yfmme/gkplRZ1gk/aK6uYaGiNA8N3f nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZX3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/ 1CIMjRN7qIjHiAA2/l1Z4uP0HCyOl34fpj317cgPZLt1Nht9Sch7vpR/g2xwgTMg2mMccTEj+Wnm 0000006856 00000 n 0000038998 00000 n 0000002504 00000 n Patella Alta is what is known as an idiopathic condition, meaning that the cause of high riding patella is typically unknown. There are two types of patellar instability. /K;M]2b; f tE2Nk4v}g T#ne,V|R4@ts]*6+-3C,pmh_Q $BeyM;t3{] a6GM1#J$OTsa* sB/77qT7vk7MH3zD3V9u/wAVf/cTp/8A7Af++6X3fJ2V98w91fbv8Vf/AHE6f/7Af++6X3fJ2V98 The site is secure. Non-operative treatment for a high riding patella will include: In severe cases of patella alta where the kneecap keep dislocating, or when conservative treatment fails, then surgery is necessary to effectively treat the condition. Gregory W. Holtzman andMarcie Harris-Hayes. 0000072321 00000 n 0000014165 00000 n /LastChar 173 Xaky7nUykpmkpSSlJKUkpSSlJKUkpSSlJKUkpyfrPbdV0lz6HurfvYNzHFpifEIHZMd3kG53Uv8A
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