Patella alta with Hoffa's fat pad impingement
Anterior knee pain persisting for years.
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High-riding dysplastic patella (patella to patellar tendon length = 1:1.6) with obvious signs of chondromalacia. Dysplastic medial trochlea with mal-alignment of the patella. Sub-synovial swelling and edema between the lateral femoral condyle and the lateral patellar ligament at the apex patellae.