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Figure 11


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.





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