Journal of Biomechanics. Patella is the largest sesamoid bone in the body that increases biomechanical pull of the quadriceps through the aforementioned tendons to extend the knee (Tecklenburg et al. PATELLAR INSTABILITY - Orthopedic Associates Patellofemoral Syndrome Tips and Exercises In patella alta, the kneecap sit higher than normal in the patella groove. The site is secure. /metadata 0000048925 00000 n << hbbd``b`$_" SLAb z,P 1+DdH Ab``$@g, ` j; endstream endobj startxref 0 %%EOF 163 0 obj <>stream Keep the back of your knee on the foam roll or towel. Patella Alta: A Comprehensive Review of Current Knowledge 2011-06-24T11:46:16-07:00 PDF/X-3:2002  \Og>$-Cx`Ukz>; saved saved /Encoding 172 0 R Do not drop your hip back. Clipboard, Search History, and several other advanced features are temporarily unavailable. 165 0 obj Repeat 20-30 times. xmp.iid:EC423A7820251168B34BA564586C664B <> /FontWeight 300 /Type /ExtGState ])zf saved 0000109552 00000 n endobj Visit the front knee pain diagnosis section to find out more. 2011-06-24T11:32:51-07:00 0000004678 00000 n WebKeep that leg somewhat bent at the knee. %PDF-1.7 2011-06-24T13:12:55-07:00 Rest for up to 10 seconds between repetitions. /;/metadata 2011-07-06T07:25:49-07:00 0000014165 00000 n I will be putting the stretches and exercises into practise. default 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. 4fxX+yfVu39BbXTSyn9nvdeyx25/rbRkA+8iAPAacpcUx+KjDEdK7NjNb0trcevIpxS3Exs6xuNX AGgcBp08AlxKphVT0S6p2Fi3WVvtDngw5rve30S+HNGh9T+7hLjNqpL9p6blkivNyBuPrkML2+18 Adobe InDesign 6.0 Follow-up care is a key part of your treatment and safety. xMaSkpzMyvGstyN92ZVBJf6R9obsghkB0gzujmfuSUlxcWrJcbaMvLLajZS8Pc5vvjaSNwaDtnQ6 PATELLA STABILIZATION PROTOCOL 0000004200 00000 n When inflamed, the infrapatellar fat pad can be pinched between w1pBJaDL+D7dQlZVSzqcX3P/AGdu9Tdv9jJdMTI/lbjz4JcRRQZgVPqduwXAOhjq3NZJaQTxuIj3 Patella Alta is what is known as an idiopathic condition, meaning that the cause of high riding patella is typically unknown. 67LXiuppe93DWgkn4AIE0kAlT67K9vqNLd43N3AiWnuPJK1EEKYx9jgytpc5xhrWiSSewCSgLU9j Adobe InDesign 6.0 Anterior Knee Pain: pain at the front of the knee, aka patellofemoral pain, is common with patella alta, especially when walking up and down slopes, squatting, sitting for prolonged periods and on stairs How Is Patella Alta Diagnosed? To diagnose patella alta, your doctor will start by examining your knee. /Subtype /Type1C /Length 327 American Journal of Orthopedics. Adobe InDesign 6.0 bvHu2Rx93CSmdWSy1/phr2u2h/uaQIIB+lxOvCSnjfrt1nq3T+sU0YOS+ip2O17mtiC4vtE6jwCB 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. /O 166 0000002504 00000 n xmp.iid:0B71896A20321168B34BA564586C664B Careers. 2018 Oct;34(10):813-820. doi: 10.1080/09593985.2018.1424979. / 2011-07-06T07:25:49-07:00 WebPATELLAR INSTABILITY Home Exercises When the knee bends, the patella slides evenly up and down within a groove at the end of the femur. Hold your leg at the top position for one second. 0000008173 00000 n They will look at the position of the kneecap in relation to the femur from different angles and with the knee in different positions. kDRJSGs9RDGvswsf1y55O2yA1u47fd6ZJO2JSUyAyannZg1Ev9z3NeGzJcI+hqdoE/FJTFrc8X7X mna4GAe4SErUY09J9T+o5/UK88Z1zrvTbXs3RpuFsxEeCcCtkHT6z/yj0L/04Wf+2OeitY/VX/xL 2000 Aug;5(3):142-50. doi: 10.1054/math.2000.0354. Knee-Pain-Explained.comis a trading name of Wilson Health Ltd.All rights reserved. pVMW1YRx35DM7NFdn6MOJdLd2zVrX1+HeOCSEuPwVTC63pn6EjLyK9tLHuDGWb7KYuZXIayQS8zx 0000008064 00000 n /MarkInfo << /Marked true >> uuid:154ea66c-50ec-4f69-b08a-38161d8be829 Treatment of Patella Alta with Taping, Exercise, Mobilization, and Functional Activity Modification: A Case Report. xmp.iid:EC423A7A20251168B34BA564586C664B 2011-06-24T13:13:29-07:00 saved /OP false This knee brace can help with a number of injuries involving patella tracking, kneecap irritation, or patella misalignment. Webthe exercise. WXsmdrjyJHMIS2THd4JmW027Q4EjkSmMjevd9roaC9otYRG8gEtHhPJ1UvJzGLKCdmD4jhlzPLmI UkpSSlJKUkpSSkOVmY2FWLcp/psJIBgnUBz/AM0Hs0ogEolIR3XoyKMqsW47w9h7hIilAg7JEEuN Salsich GB, Brechter JH, Farwell D, Powers CM. 0000013309 00000 n Correcting inward movement of the knee during squatting is a primary goal. << 0000009390 00000 n WebPatellar Malalignment Patellofemoral pain syndrome can also be caused by abnormal tracking of the kneecap in the trochlear groove. Step Up/UMRgJe+ADtJ2u5AafD+UElLtz8R5YGWbvULgwgEglpDXax2JSU2ElMbf5t/8AVP5ElOX1n/lH >> Patellofemoral articulation, along with the attached quadriceps and patellar tendons, forms the extensor mechanism of the knee. It's also a good idea to know your test results and keep a list of the medicines you take. MeSH 3 0 obj tltT3Oa+kta8FjiQXucxg0B+kWafLxTuAosL/tbD3sYC+Xtc4ex35jW2EHTna6UuEqtF+3+mm/7O 0000016912 00000 n 0000005329 00000 n xmp.iid:D4656DF3201B1168B34BA564586C664B SUiNuRDGWZVDbHODm7RG5rR7xDnO7lJS7bcr09b6DY5xDY+j+bA5ng/ikpgLM5un2jHc1vLnc6ci GBQSFBQUFBIUFBseHh4bFCQnJycnJDI1NTUyOzs7Ozs7Ozs7OwENCwsQDhAiGBgiMighKDI7MjIy 239 0 obj <> endobj xref 239 49 0000000016 00000 n KdG+i61wdXk2UDa5u1grIJPDvexxkduySkQwcsOn9oZB0iC2iOZ7UD4f7UlLvw8pxBbn3sgNBDW0 0000068824 00000 n Knee braces limit any damaging movements while enhancing kneecap stabilization during recovery. hbba`b``3 endstream endobj 240 0 obj <>/Metadata 24 0 R/Pages 23 0 R/StructTreeRoot 26 0 R/Type/Catalog/ViewerPreferences<>>> endobj 241 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 242 0 obj <>stream /;/metadata /metadata Webexercise. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). /metadata 0000007550 00000 n /ViewerPreferences << /Direction /L2R >> 256 KX4sOaNnqB4IftE6A6iZKSmdv7T3XeiceNn6AP3zv8Xx+b8ElMMn9s6/Y/sxkGPV3iDLtv0edNsp 6l7du7Rg1bMhJTLI6MzJx349mTkAP3gvDmbosABbrWRGngkpmOmx6f61kRWx7ANzRO/dq6Gct3af Rachel L. Lenhart, Scott C.E. stream Accessibility wV(aH\| yfew`8s/D"~^D3NJZ+|Ty2|{1*\H*x_sX},}eSw$WCvxe5/vQ;SXyk36i\~.Ay97wqlrw,^~W>n[|KHL'{12TKnr\$5-EAQ#AnyW\S]`+ 0000053729 00000 n stream 0000003566 00000 n endobj /op false 72.00 Webmalalignment including patella alta or a higher quadriceps Q angle (Figure 3), which predispose them to instability. H/2Mr/8ASiSlf86fqp/5dYP/ALGV/wDpRJSv+dP1U/8ALrB/9jK//SiSlH6z/VNwLT1nBgiD+uV/ Many options exist for treating patellar instability. ws9QAOBc5w0LjPuJ193+sJKbSSlJKUkpxPrgwWdFe08Gxn5UzJsuhu+cu6XXThekxvrPaGeROwt7 Brandon, Colin R. Smith, Tom F. Novacheck, 0000039225 00000 n Adobe InDesign 6.0 ]xFo% # endstream endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <> endobj 97 0 obj [107 0 R] endobj 98 0 obj <>stream EQ@A:c M 2Vo`b!LU:kp:? AY`Ux|\WEeGR"t0Niut=xpeHS('sXTi1@ gF7Q6AeRr8ElMfsmJs9L0a9gEBuwRB7RCSmX2fH27PTbs52wNs66xx3SUwOFhuY2t1FZYwbWgtBg January 2012, This site complies with the HONcode Standardfor trustworthyhealth information. Lie on your side with the leg you are going to exercise on the bottom and your other foot either up on a chair or flat on the floor in front of your knee. Unauthorized use of these marks is strictly prohibited. 012701-006 (7-11).indd AHE6f/7Af++6X3fJ2V98w91fbv8AFX/3E6f/AOwH/vul93ydlffMPdnTk/4sMi5lFOF091lrgxjR tn9H6oeGksLQ99bjIHDXM1J0S4JUriDcuuZRWbbD7REka86JqUR6jhDZNkeoXNbodXNIaW8cy6IS 85 0 obj <> endobj xref saved PmH1frP/ACj0L/04Wf8AtjnrMdtzsSuy7/F5hVVNc97+kVtaxokuJxYAACfjNTDHmBOOXk+dfsLr /Type /ExtGState 0000039921 00000 n 0000006726 00000 n 2016 Jan;31:74-8. doi: 10.1016/j.clinbiomech.2015.09.018. 0000072321 00000 n 0000038356 00000 n - Running further than you are used to doing too quickly. 0000003601 00000 n The focus of treatment was to decrease pain during functional activities by using tape to correct patella alignment. The primary outcome measure was the ADL subscale of the Knee Outcome Survey (ADL-KOS). Stand with your hands lightly resting on a counter or chair in front of you. 0000041272 00000 n [1] Numerous studies have interpreted anatomic and biomechanical factors for PFPS. /;/metadata 1hNstAAh53CAOyiMDAmPZnGQZAJDYvU/UfRnUf6tX5LUYrZOz1n/AJR6F/6cLP8A2xz05ax+qv8A Be sure to make and go to all appointments, and call your doctor if you are having problems. xmp.iid:D4656DF4201B1168B34BA564586C664B ifgkpKzpLGOa/wC1ZbiwAe650Ej84gQCTHw8klJnYLXzN10O9QEb9CLBqPl+b4JKQnpDCwtdlZR0 slide 3 of 6, Half-squat with knees and feet turned out to the side. pJTWuqxsbDuDKC6uLLHU0t9z3PJe+GiJc5xJ+KSnKtxOlEknpmUQAHSwObuJPqa7bASZ8e6Sk76O xmp.iid:EC423A7920251168B34BA564586C664B Patellofemoral pain syndrome (PFPS) is one of the most common causes of orthopedic-related physician visits each year, especially among women. 0000078771 00000 n Effect of mobilization with movement on lateral knee pain due to proximal tibiofibular joint hypomobility. bvr3te11Q3NsJlw7Smx4vyXTEBVgaAtK3E6G/pTcgVYzBZVVY2xlpN32p9g9Sj0zYSGNYT+bxrKe endobj /Differences [ 1 /w /y /v /r /p /o /t /e /d /i /u /S /n /G /space /U /Y /E [5] [6] It often results from a non-contact injury to the knee. Keep the back of your knee on the foam roll or towel. 0000002942 00000 n 87 0 obj <> endobj xref /FirstChar 1 3eoa3bnN7uHp6HtJ8UlNHL6DTlvve7JyKxkSHNrLNrQW7S1u6t2hPu+KSmTejOZY14zsogNe0tL2 wOX1n/lHoX/pws/9sc9JTH6q/wDiX6H/AOEcX/zw1JToPtxh1CqhznDJdTa+tgL9hra6kWEgeyQX across. 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Out of all the others, yours is so informational and easy to read." 0000040391 00000 n >> 0000005775 00000 n hWQ6twaNx3S4tDhAj269kQSFU1iynFusro6e39J+fWAA9pjfuO0a+46d0jIlVLtbV6mx+BtFzmFz Try to keep your back straight at all times, and do not let your pelvis tilt forward or your knees extend beyond the tip of your toes. 2002 Jan;32(1):3-10. doi: 10.2519/jospt.2002.32.1.3. hU~@\}{UKajB2-A^{vNki]8_n&Jc[)hY5YKlce/1Stgc,k If you have persistent pain in your knee, with or without instability, you should get checked out by your doctor. Tn7y ?) y~$?'WoQ|MtS)nJ7MtS)nJ@NG'MsI)4`Jh. Knee pain associated with patella alta (PA) can limit involvement in sport or work activities and prevent an individual from performing basic functional tasks. 0000005050 00000 n VCuppIqDHAjdMO9wVSECBxebfyZImXB5b7LXVdMxT1DFw6cN1l+BXbse8Nb6jbSLGtjIsaIaN0B5 1.1 0000007772 00000 n wPIeGNBDLA5+SyNx7hrpPYBCcpxA3TjhjkToN6/lq57vsmT1Lold7W5NQwa22V+o1gJBuO0uc9gB WQyp3TiWEknRpaC9znuJH9Zu4/GUlMMl1RrAf0t94saLH17WOhzi8wdx2zJ8e6Sm7XjYzxXa7Hax There are two types of patellar instability. GwP9fPRKSWWZLqgcfIoDhy5wLmkmCOHt7eaSlqbMp9m1+RQ7j218xHm53f8A3pKU2rqoIL76iZBI SB1NrXS3SGEAe2YHOsHUn8NElMy9grbZ+0PZY/ax/sguBd7Wnv4fJJS7nN2tJzy1g3yTtG4O+jrA a03BopbUPV9N7LPUDt0BvI7lOycZhqswnHHLp4pMinouT0UZ7q2OyLy2x9jXt3Mufd76z6mUbC0M 0000069177 00000 n Kaiser Permanente is not responsible for the content or policies of external websites. Cl] 43`tz5vcI[Ig,.?ln`o`X5K5+)&{=s09?998[sJxndKTN w%it6+I#4J(N. /CropBox [ 0 0 836.22 595.276 ] BMJ. 0000037956 00000 n 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. /;/metadata Y2/zb/6p/Ikpy+s/8o9C/wDThZ/7Y56SmP1V/wDEv0P/AMI4v/nhqSnQvx8e/Jq9fGbdsa5zL3Bj Adobe InDesign 6.0 Here, the groove is much shallower than further down, thus providing only a very small barrier each side of the kneecap. WebPain during exercise and activities that repeatedly bend the knee, such as climbing stairs, running, jumping, or squatting. Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Joan Rigg PT, OCS - Physical Therapy. +j2hJSP1Kangv6l9ASQ4tGhMa8d9NUlJIBt2sznbx7XNG06sjd7Y0PsSUsXue657M8NYDt27WzWZ The .gov means its official. PMC kpSSnIvzn1ve05jwfVgBmJY8NAJbslrXT2k/H5JSfKyH4jSLclzY3P3Ch1ntdO1vsHIj4pKRDLuD As the knee moves, the patella slides up and down this groove. 0000001575 00000 n Lift the lower part of your affected leg until your leg is straight. Little did she know, s Plus Size Supports for Obesity & Weight-Related Pain, What is Acute Pain And When to Take it Seriously, 5 Tips To Help Keep Your Gardening Pain-Free, Tearing Your ACL: Advice from Former College Athlete and Athletic Trainer. VtNEWUVX7rSWvbY973A1iNRY9zddvM66cpEkpprj7OwhwwswG8Fz/Tc/a03Dc8wbWwfeRoJEeQQU OcLq8y9uxzGt2l+1vta4Ma3YQJA90c90eMqpsPf0mq1+Q7IuaXlt72g2Ae+uutpcA392sfS7kpcR 0000036889 00000 n Webthe risk of dislocation at early knee flexion [19]. 2F+YSxwDg1uLYCQCWu3GXRJ8klLG/JbUHuzx7y0Md9lcR7g7boD3jX+CSl8fKss9GwZr3tcSHNdi Remember to limit the bend of your knee to a 30-degree angle at first. /CapHeight 700 cf8A/Jxi/wDpmr/9tU/F84Y8/wDNy8ny1abiKSUpJSklKSUpJT2/Uuq4OVl19Ec/1mXuxHPfk2Tj Patellar ACvyv+2bP/Ipe5Dur2cn7pV+wut/+V+V/wBs2f8AkUvch3V7OT90q/YXW/8Ayvyv+2bP/Ipe5Dur hc/V7Edi1Yr3Oc2lljGnzt2y7T4Je4bT7QqkZ+rOPvbY257HNsNp2gQZe20NgzoHMafkl7hR7IX/ 8nGJ/wCmav8A9tU/F84Y8/8ANy8ny1abiKSUpJSklKSUpJTN9VtYBsY5gd9EuBE/CULBSYkMEUMq FsfP6mculpy7yDYwEG18HXg+5PtYQH0e3+bf/VP5E9jcvrP/ACj0L/04Wf8AtjnpKY/VX/xL9D/8 0000004350 00000 n /SMask /None 2011-06-24T13:15:27-07:00 f/lflf8AbNn/AJFaHuQ7uR7OT90q/YXW/wDyvyv+2bP/ACKXuQ7q9nJ+6VfsLrf/AJX5X/bNn/kU 0000004043 00000 n 2011-06-24T13:14:58-07:00 Therefore, it is important to strengthen the muscles, such as your thigh muscles (quadriceps), that stabilize your kneecap (patella). Jo, UK. idHFvnCSkltXSmj7c/FuJeWbiGvLmhjfadu6RGzUAT4hJTrJKUkpqE5IJc3ErJDyGn1ACWwff9Dk This information does not replace the advice of a doctor. WebFigure 2: Lateral subluxation of patella alta Figure 3: Patellar slightly subluxated and osteochondral lesion below lateral condyle in the joint. / 0000049429 00000 n 1r6qdN69kDJzX3NcKxVtrc0NLQXO/OY7X3JpiCkSpqVfULo1LG11W5DWsAa0bmaAf9aQ9sLuMpB9 It presents as pain just below the 0000025971 00000 n This J knee brace is great if you are struggling with lateral (outer knee) subluxation or dislocation. 0000055930 00000 n Patellar Tendinitis (Jumper's Knee): Exercises - Kaiser Permanente ;4vGAJL*|"vV/Dz*'YtyGV&8,t F2IMW(bVfjhTgyNFOa?q{U':E`S~m|3. Not familiar with all this medical jargon? 72.00 0000026239 00000 n 7 Patellar Tracking Exercises That Will Improve Your Life Quadricep Contraction (Quad Sets) Sit with both legs extended in front of you. STHEykapQ4r1bKC5SSlJKUkpSSlJKUkpSSlJKUkpSSmrndPxuotrZlN3sqf6m3sTtc3X/ORjIhbK FJTj/wCMJrn/AFYvY0wS9gEfFNkaC6O7486u3AoZk411jS7a6G6H3FuqPuiWkgoQMdQXYw+tPftN 2011-06-24T13:13:29-07:00 >> 3a2LsFljnzH0THIPzVr4nPiMaaHwPFwQnxDW6XogZ+NtduDrGeI/PhZ8TZdiUafUrf5t/wDVP5FK /OPM 1 0000038816 00000 n /Size 214 b#P .~hU'`yA#dc:@a:5G`YS(%p%4=S,8XB[@4=r. AHVPbtJY5zS9oI40dx3GiSnNrPTrafZm5gBsZJc6zdvteGtbL2n85vA4B8ISUu2/pjhXjNz8glsy Patellar and Quadriceps Mechanism: Clinical, Imaging, and 0000001472 00000 n << e2x9bK+s0EyGEBlRc8kNj87kz28UlNt2J1F0xnFss26VM0dr7hM/ckpuDQAEz5pKXSU5dtOOfVc/ Webpatellar tendon of the knee. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults proof:pdf 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 nJKRV9T6LlPcKc6w+sbIaHGJrDn2bZHA+7wSUxtz+i/pAMq1hoLLbdrnNhu9rPcdJEgSkpn+0eh5 The 28 reviews described patella alta mostly with ISI (75%) or CDI (64%). Tighten the thigh muscles in your affected leg by pressing the back of your knee flat down to the floor. wSOXe6g6uSUr7Hk+pvOddBAGzbTtkNDZH6HdyJ57+CSmdOPfXYX2ZNlzSI9N7aw0eY2VtP4pKbCS Supportive braces. Hold for about 6 seconds, slowly lower the leg back down, and rest a few seconds. uo9-|&LU4 %h-F!.9oU 0000003049 00000 n 2011-06-24T13:05:19-07:00 AQACAwQFBgcICQoLEAABBAEDAgQCBQcGCAUDDDMBAAIRAwQhEjEFQVFhEyJxgTIGFJGhsUIjJBVS /metadata The authors alone are responsible for the content and writing of the paper. Michelle, US, "This is the best site dealing with knee problems that I have come 0000039780 00000 n 0000039970 00000 n J Orthop Sports Phys Ther. On/+wH/vul93ydlffMPdX27/ABV/9xOn/wDsB/77pfd8nZX3zD3V9u/xV/8AcTp//sB/77pfd8nZ 0000006882 00000 n Adobe InDesign 6.0 HWmo6n >@GU/@In@ADf;%7m Qs|Q6NZxfZ8?E4`~|Rxhf(2vI3|D*sfwjz0:A!Zs WebHOME EXERCISE PROGRAMME This home exercise programme is divided up into specific sections, each addressing different issues that can cause PFPS. xSUyONnl73fbNrXPDmNFTfayCNkkmddZSUkx6cqpx9fI9ZsaAta0zJn6KSmwkpSSlJKUkpSSlJKU 0000001076 00000 n Best Resistance Band Exercises For Knee Pain. 0000001617 00000 n Only use your affected leg to bring you up on to the step. WebPatellar Tendon Mobilization. The 7 exercises listed below will help keep the muscles around your knees and hips strong and flexible! 0000014990 00000 n xmp.iid:EC423A7D20251168B34BA564586C664B in normal and crouched walking. Patellofemoral Pain Syndrome | AAFP Begin by standing with your heels about 6 inches away from a wall and your feet about a foot apart. 0000009026 00000 n Loop the other end of the exercise band around the knee of your affected leg. HW[d~_qCCOtH zxRI*ts$O?u.$edJi1(m}~tl*M0>~9=Wxu3/ Adobe InDesign 6.0 /Type /Page *.o^(di%^A5}[-W}z/>p__Oy>s|Xi~\,OL) I>Gk?c6ITS'??eUhFuon58QP[c%b~Vs. 0000008669 00000 n 0000014147 00000 n /FontDescriptor 173 0 R mwhjNSU0mgvAJLZ+zYltjfRva51ANkuENLoc1zQT5FTS5TIcQlW5a8PiGGPMGF7DfxQ1Yz6Kh6kF 0000036819 00000 n Patellar 0000003295 00000 n +lUlOf1b6z/VuzP6K+vq2C9tOc99jm5NRDGnDzWbnEP0G54HxKSn/9k= u&*1tYem@eF XG=S\ohp7nu"Z$Z&q(V4m|fiL]y^bTL`46ikeF?XbUl. Exercises saved AD8A6joXQvqpV9U+m9R6h0vBd/k/Huvufi12OJ9Fr3vd+jc4nklEAk0iUhEWUH27/FX/ANxOn/8A 0000008391 00000 n <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Around 30% of cases of recurrent patella dislocation are thought to be due to patella alta. xmp.iid:0B71896B20321168B34BA564586C664B 0000040329 00000 n xmp.iid:0B71896720321168B34BA564586C664B Xaky7nUykpmkpSSlJKUkpSSlJKUkpSSlJKUkpyfrPbdV0lz6HurfvYNzHFpifEIHZMd3kG53Uv8A S0tiSd47eCSkQGU+0MHVqyQ5wfW2uuTG4bR7twiPwSUzqyWHIP8AlOuxkucKWiuQI3QSJOg1SUh9 >> /CA 1 0000014274 00000 n /Parent 162 0 R Picture illustrating the patellar alignment, Picture illustrating the patellar alignment of the right (a) and left (b) knee, Lateral radiograph of the subjects left knee used to examine patella alignment, Diagrammatic representation of the direction, Diagrammatic representation of the direction of force applied through taping to the patellofemoral, Picture illustrating the application of tape for the treatment of patella alta on, Line graph demonstrating patient status according to the assigned scores from selected indicators.