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Fig. 4B Artwork illustrates proposed mechanism of injury to patellar
and femoral articular surfaces during two stages of transient dislocation of
patella. Reduction stage. During second stage of transient dislocation of
patella, as patella bounces back into normal position, impaction of medial
patellar facet against nonarticular surface of lateral femoral condyle results
in bone contusions of lateral femoral condyle and medial aspect of patella
(long arrows). Osteochondral impaction injury can occur to medial
patellar facet (short arrow), but concave configuration of trochlear
groove protects femoral articular surface from impaction injury during
reduction stage.