Presentation
Acute knee pain following trauma. Longstanding anterior knee pain.
Patient Data
Age: 25 years
Gender: Male
From the case:
Patellar tendiopathy due to gross patella alta
{"study":{"id":60639,"case_slug":"patellar-tendiopathy-due-to-gross-patella-alta","modality":"MRI","series":[{"id":31347489,"content_type":"image/jpeg","frames":[{"id":31347468,"width":730,"height":686},{"id":31347469},{"id":31347470},{"id":31347471},{"id":31347473},{"id":31347476},{"id":31347478},{"id":31347480},{"id":31347482},{"id":31347484},{"id":31347486},{"id":31347489,"current":true},{"id":31347491},{"id":31347492},{"id":31347498},{"id":31347500},{"id":31347502},{"id":31347504},{"id":31347507},{"id":31347509},{"id":31347512},{"id":31347513},{"id":31347515}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"ce06734f9eee14f4ea30953af125e2_tiny.jpeg","jumbo":"ce06734f9eee14f4ea30953af125e2_jumbo.jpeg","small":"ce06734f9eee14f4ea30953af125e2_small.jpeg","thumb":"ce06734f9eee14f4ea30953af125e2_thumb.jpeg","medium":"ce06734f9eee14f4ea30953af125e2_medium.jpeg","gallery":"ce06734f9eee14f4ea30953af125e2_gallery.jpeg","big_gallery":"ce06734f9eee14f4ea30953af125e2_big_gallery.jpeg","original":"ce06734f9eee14f4ea30953af125e2.jpg"},{"tiny":"b164259791bd47989403dd5fb56e25_tiny.jpeg","jumbo":"b164259791bd47989403dd5fb56e25_jumbo.jpeg","small":"b164259791bd47989403dd5fb56e25_small.jpeg","thumb":"b164259791bd47989403dd5fb56e25_thumb.jpeg","medium":"b164259791bd47989403dd5fb56e25_medium.jpeg","gallery":"b164259791bd47989403dd5fb56e25_gallery.jpeg","big_gallery":"b164259791bd47989403dd5fb56e25_big_gallery.jpeg","original":"b164259791bd47989403dd5fb56e25.jpg"},{"tiny":"4e9a560d00c9ad4c7ced67d301f8b1_tiny.jpeg","jumbo":"4e9a560d00c9ad4c7ced67d301f8b1_jumbo.jpeg","small":"4e9a560d00c9ad4c7ced67d301f8b1_small.jpeg","thumb":"4e9a560d00c9ad4c7ced67d301f8b1_thumb.jpeg","medium":"4e9a560d00c9ad4c7ced67d301f8b1_medium.jpeg","gallery":"4e9a560d00c9ad4c7ced67d301f8b1_gallery.jpeg","big_gallery":"4e9a560d00c9ad4c7ced67d301f8b1_big_gallery.jpeg","original":"4e9a560d00c9ad4c7ced67d301f8b1.jpg"},{"tiny":"e21a579aa2ffc583db8b6911c07740_tiny.jpeg","jumbo":"e21a579aa2ffc583db8b6911c07740_jumbo.jpeg","small":"e21a579aa2ffc583db8b6911c07740_small.jpeg","thumb":"e21a579aa2ffc583db8b6911c07740_thumb.jpeg","medium":"e21a579aa2ffc583db8b6911c07740_medium.jpeg","gallery":"e21a579aa2ffc583db8b6911c07740_gallery.jpeg","big_gallery":"e21a579aa2ffc583db8b6911c07740_big_gallery.jpeg","original":"e21a579aa2ffc583db8b6911c07740.jpg"},{"tiny":"ff7c44da3f791d89695ab55e069e59_tiny.jpeg","jumbo":"ff7c44da3f791d89695ab55e069e59_jumbo.jpeg","small":"ff7c44da3f791d89695ab55e069e59_small.jpeg","thumb":"ff7c44da3f791d89695ab55e069e59_thumb.jpeg","medium":"ff7c44da3f791d89695ab55e069e59_medium.jpeg","gallery":"ff7c44da3f791d89695ab55e069e59_gallery.jpeg","big_gallery":"ff7c44da3f791d89695ab55e069e59_big_gallery.jpeg","original":"ff7c44da3f791d89695ab55e069e59.jpg"},{"tiny":"4977ecf02f552255a3cda02202aed0_tiny.jpeg","jumbo":"4977ecf02f552255a3cda02202aed0_jumbo.jpeg","small":"4977ecf02f552255a3cda02202aed0_small.jpeg","thumb":"4977ecf02f552255a3cda02202aed0_thumb.jpeg","medium":"4977ecf02f552255a3cda02202aed0_medium.jpeg","gallery":"4977ecf02f552255a3cda02202aed0_gallery.jpeg","big_gallery":"4977ecf02f552255a3cda02202aed0_big_gallery.jpeg","original":"4977ecf02f552255a3cda02202aed0.jpg"},{"tiny":"30d0fb0160a88c723e2b340f676a45_tiny.jpeg","jumbo":"30d0fb0160a88c723e2b340f676a45_jumbo.jpeg","small":"30d0fb0160a88c723e2b340f676a45_small.jpeg","thumb":"30d0fb0160a88c723e2b340f676a45_thumb.jpeg","medium":"30d0fb0160a88c723e2b340f676a45_medium.jpeg","gallery":"30d0fb0160a88c723e2b340f676a45_gallery.jpeg","big_gallery":"30d0fb0160a88c723e2b340f676a45_big_gallery.jpeg","original":"30d0fb0160a88c723e2b340f676a45.jpg"},{"tiny":"e31138554d6829782ddbf2494b36df_tiny.jpeg","jumbo":"e31138554d6829782ddbf2494b36df_jumbo.jpeg","small":"e31138554d6829782ddbf2494b36df_small.jpeg","thumb":"e31138554d6829782ddbf2494b36df_thumb.jpeg","medium":"e31138554d6829782ddbf2494b36df_medium.jpeg","gallery":"e31138554d6829782ddbf2494b36df_gallery.jpeg","big_gallery":"e31138554d6829782ddbf2494b36df_big_gallery.jpeg","original":"e31138554d6829782ddbf2494b36df.jpg"},{"tiny":"50e89272ee268dd46c050292ebf170_tiny.jpeg","jumbo":"50e89272ee268dd46c050292ebf170_jumbo.jpeg","small":"50e89272ee268dd46c050292ebf170_small.jpeg","thumb":"50e89272ee268dd46c050292ebf170_thumb.jpeg","medium":"50e89272ee268dd46c050292ebf170_medium.jpeg","gallery":"50e89272ee268dd46c050292ebf170_gallery.jpeg","big_gallery":"50e89272ee268dd46c050292ebf170_big_gallery.jpeg","original":"50e89272ee268dd46c050292ebf170.jpg"},{"tiny":"d5969f9b4dfc1749ed12e67ff73206_tiny.jpeg","jumbo":"d5969f9b4dfc1749ed12e67ff73206_jumbo.jpeg","small":"d5969f9b4dfc1749ed12e67ff73206_small.jpeg","thumb":"d5969f9b4dfc1749ed12e67ff73206_thumb.jpeg","medium":"d5969f9b4dfc1749ed12e67ff73206_medium.jpeg","gallery":"d5969f9b4dfc1749ed12e67ff73206_gallery.jpeg","big_gallery":"d5969f9b4dfc1749ed12e67ff73206_big_gallery.jpeg","original":"d5969f9b4dfc1749ed12e67ff73206.jpg"},{"tiny":"35c0f182cbae1f4e2ba2012cc1a16d_tiny.jpeg","jumbo":"35c0f182cbae1f4e2ba2012cc1a16d_jumbo.jpeg","small":"35c0f182cbae1f4e2ba2012cc1a16d_small.jpeg","thumb":"35c0f182cbae1f4e2ba2012cc1a16d_thumb.jpeg","medium":"35c0f182cbae1f4e2ba2012cc1a16d_medium.jpeg","gallery":"35c0f182cbae1f4e2ba2012cc1a16d_gallery.jpeg","big_gallery":"35c0f182cbae1f4e2ba2012cc1a16d_big_gallery.jpeg","original":"35c0f182cbae1f4e2ba2012cc1a16d.jpg"},{"tiny":"daefbefd1e128403aee4bf52c5d278_tiny.jpeg","jumbo":"daefbefd1e128403aee4bf52c5d278_jumbo.jpeg","small":"daefbefd1e128403aee4bf52c5d278_small.jpeg","thumb":"daefbefd1e128403aee4bf52c5d278_thumb.jpeg","medium":"daefbefd1e128403aee4bf52c5d278_medium.jpeg","gallery":"daefbefd1e128403aee4bf52c5d278_gallery.jpeg","big_gallery":"daefbefd1e128403aee4bf52c5d278_big_gallery.jpeg","original":"daefbefd1e128403aee4bf52c5d278.jpg"},{"tiny":"be62ec2cf7e0d7a5cda9b9f72e1408_tiny.jpeg","jumbo":"be62ec2cf7e0d7a5cda9b9f72e1408_jumbo.jpeg","small":"be62ec2cf7e0d7a5cda9b9f72e1408_small.jpeg","thumb":"be62ec2cf7e0d7a5cda9b9f72e1408_thumb.jpeg","medium":"be62ec2cf7e0d7a5cda9b9f72e1408_medium.jpeg","gallery":"be62ec2cf7e0d7a5cda9b9f72e1408_gallery.jpeg","big_gallery":"be62ec2cf7e0d7a5cda9b9f72e1408_big_gallery.jpeg","original":"be62ec2cf7e0d7a5cda9b9f72e1408.jpg"},{"tiny":"9e08a2dfc72cf97984a80f109ed95b_tiny.jpeg","jumbo":"9e08a2dfc72cf97984a80f109ed95b_jumbo.jpeg","small":"9e08a2dfc72cf97984a80f109ed95b_small.jpeg","thumb":"9e08a2dfc72cf97984a80f109ed95b_thumb.jpeg","medium":"9e08a2dfc72cf97984a80f109ed95b_medium.jpeg","gallery":"9e08a2dfc72cf97984a80f109ed95b_gallery.jpeg","big_gallery":"9e08a2dfc72cf97984a80f109ed95b_big_gallery.jpeg","original":"9e08a2dfc72cf97984a80f109ed95b.jpg"},{"tiny":"e8f78a1f4a875ed17bafb0d73d736e_tiny.jpeg","jumbo":"e8f78a1f4a875ed17bafb0d73d736e_jumbo.jpeg","small":"e8f78a1f4a875ed17bafb0d73d736e_small.jpeg","thumb":"e8f78a1f4a875ed17bafb0d73d736e_thumb.jpeg","medium":"e8f78a1f4a875ed17bafb0d73d736e_medium.jpeg","gallery":"e8f78a1f4a875ed17bafb0d73d736e_gallery.jpeg","big_gallery":"e8f78a1f4a875ed17bafb0d73d736e_big_gallery.jpeg","original":"e8f78a1f4a875ed17bafb0d73d736e.jpg"},{"tiny":"53114adfc8ac19651895da7c9f8c64_tiny.jpeg","jumbo":"53114adfc8ac19651895da7c9f8c64_jumbo.jpeg","small":"53114adfc8ac19651895da7c9f8c64_small.jpeg","thumb":"53114adfc8ac19651895da7c9f8c64_thumb.jpeg","medium":"53114adfc8ac19651895da7c9f8c64_medium.jpeg","gallery":"53114adfc8ac19651895da7c9f8c64_gallery.jpeg","big_gallery":"53114adfc8ac19651895da7c9f8c64_big_gallery.jpeg","original":"53114adfc8ac19651895da7c9f8c64.jpg"},{"tiny":"b36b5a713443c4f69eafb1f23d5da9_tiny.jpeg","jumbo":"b36b5a713443c4f69eafb1f23d5da9_jumbo.jpeg","small":"b36b5a713443c4f69eafb1f23d5da9_small.jpeg","thumb":"b36b5a713443c4f69eafb1f23d5da9_thumb.jpeg","medium":"b36b5a713443c4f69eafb1f23d5da9_medium.jpeg","gallery":"b36b5a713443c4f69eafb1f23d5da9_gallery.jpeg","big_gallery":"b36b5a713443c4f69eafb1f23d5da9_big_gallery.jpeg","original":"b36b5a713443c4f69eafb1f23d5da9.jpg"},{"tiny":"108a3367f4f6ddec6b46a31f9c2d97_tiny.jpeg","jumbo":"108a3367f4f6ddec6b46a31f9c2d97_jumbo.jpeg","small":"108a3367f4f6ddec6b46a31f9c2d97_small.jpeg","thumb":"108a3367f4f6ddec6b46a31f9c2d97_thumb.jpeg","medium":"108a3367f4f6ddec6b46a31f9c2d97_medium.jpeg","gallery":"108a3367f4f6ddec6b46a31f9c2d97_gallery.jpeg","big_gallery":"108a3367f4f6ddec6b46a31f9c2d97_big_gallery.jpeg","original":"108a3367f4f6ddec6b46a31f9c2d97.jpg"},{"tiny":"1b9054b94e6588e49a5e13f76b95de_tiny.jpeg","jumbo":"1b9054b94e6588e49a5e13f76b95de_jumbo.jpeg","small":"1b9054b94e6588e49a5e13f76b95de_small.jpeg","thumb":"1b9054b94e6588e49a5e13f76b95de_thumb.jpeg","medium":"1b9054b94e6588e49a5e13f76b95de_medium.jpeg","gallery":"1b9054b94e6588e49a5e13f76b95de_gallery.jpeg","big_gallery":"1b9054b94e6588e49a5e13f76b95de_big_gallery.jpeg","original":"1b9054b94e6588e49a5e13f76b95de.jpg"},{"tiny":"6c9aeaaa919a315df6f45824256b6f_tiny.jpeg","jumbo":"6c9aeaaa919a315df6f45824256b6f_jumbo.jpeg","small":"6c9aeaaa919a315df6f45824256b6f_small.jpeg","thumb":"6c9aeaaa919a315df6f45824256b6f_thumb.jpeg","medium":"6c9aeaaa919a315df6f45824256b6f_medium.jpeg","gallery":"6c9aeaaa919a315df6f45824256b6f_gallery.jpeg","big_gallery":"6c9aeaaa919a315df6f45824256b6f_big_gallery.jpeg","original":"6c9aeaaa919a315df6f45824256b6f.jpg"},{"tiny":"8c73c45afe0d6cbf941b74453e294b_tiny.jpeg","jumbo":"8c73c45afe0d6cbf941b74453e294b_jumbo.jpeg","small":"8c73c45afe0d6cbf941b74453e294b_small.jpeg","thumb":"8c73c45afe0d6cbf941b74453e294b_thumb.jpeg","medium":"8c73c45afe0d6cbf941b74453e294b_medium.jpeg","gallery":"8c73c45afe0d6cbf941b74453e294b_gallery.jpeg","big_gallery":"8c73c45afe0d6cbf941b74453e294b_big_gallery.jpeg","original":"8c73c45afe0d6cbf941b74453e294b.jpg"},{"tiny":"faa9d57799c93c7b76273689199172_tiny.jpeg","jumbo":"faa9d57799c93c7b76273689199172_jumbo.jpeg","small":"faa9d57799c93c7b76273689199172_small.jpeg","thumb":"faa9d57799c93c7b76273689199172_thumb.jpeg","medium":"faa9d57799c93c7b76273689199172_medium.jpeg","gallery":"faa9d57799c93c7b76273689199172_gallery.jpeg","big_gallery":"faa9d57799c93c7b76273689199172_big_gallery.jpeg","original":"faa9d57799c93c7b76273689199172.jpg"},{"tiny":"844bf8a9265723d20227d00dba4c11_tiny.jpeg","jumbo":"844bf8a9265723d20227d00dba4c11_jumbo.jpeg","small":"844bf8a9265723d20227d00dba4c11_small.jpeg","thumb":"844bf8a9265723d20227d00dba4c11_thumb.jpeg","medium":"844bf8a9265723d20227d00dba4c11_medium.jpeg","gallery":"844bf8a9265723d20227d00dba4c11_gallery.jpeg","big_gallery":"844bf8a9265723d20227d00dba4c11_big_gallery.jpeg","original":"844bf8a9265723d20227d00dba4c11.jpg"}]},"perspective":"Sagittal","specifics":"PD fat sat"},{"id":31347496,"content_type":"image/jpeg","frames":[{"id":31347472,"width":729,"height":686},{"id":31347474},{"id":31347475},{"id":31347477},{"id":31347479},{"id":31347481},{"id":31347483},{"id":31347485},{"id":31347487},{"id":31347488},{"id":31347490},{"id":31347493},{"id":31347494},{"id":31347495},{"id":31347496,"current":true},{"id":31347497},{"id":31347499},{"id":31347501},{"id":31347503},{"id":31347505},{"id":31347506},{"id":31347508},{"id":31347510},{"id":31347511},{"id":31347514},{"id":31347516},{"id":31347517},{"id":31347518},{"id":31347519}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"5d688f35b6ab3dce7eea8291cb140b_tiny.jpeg","jumbo":"5d688f35b6ab3dce7eea8291cb140b_jumbo.jpeg","small":"5d688f35b6ab3dce7eea8291cb140b_small.jpeg","thumb":"5d688f35b6ab3dce7eea8291cb140b_thumb.jpeg","medium":"5d688f35b6ab3dce7eea8291cb140b_medium.jpeg","gallery":"5d688f35b6ab3dce7eea8291cb140b_gallery.jpeg","big_gallery":"5d688f35b6ab3dce7eea8291cb140b_big_gallery.jpeg","original":"5d688f35b6ab3dce7eea8291cb140b.jpg"},{"tiny":"af740e9c1f358e45344ee81d072d2c_tiny.jpeg","jumbo":"af740e9c1f358e45344ee81d072d2c_jumbo.jpeg","small":"af740e9c1f358e45344ee81d072d2c_small.jpeg","thumb":"af740e9c1f358e45344ee81d072d2c_thumb.jpeg","medium":"af740e9c1f358e45344ee81d072d2c_medium.jpeg","gallery":"af740e9c1f358e45344ee81d072d2c_gallery.jpeg","big_gallery":"af740e9c1f358e45344ee81d072d2c_big_gallery.jpeg","original":"af740e9c1f358e45344ee81d072d2c.jpg"},{"tiny":"36433e1efda4d7e670d746e1973b4e_tiny.jpeg","jumbo":"36433e1efda4d7e670d746e1973b4e_jumbo.jpeg","small":"36433e1efda4d7e670d746e1973b4e_small.jpeg","thumb":"36433e1efda4d7e670d746e1973b4e_thumb.jpeg","medium":"36433e1efda4d7e670d746e1973b4e_medium.jpeg","gallery":"36433e1efda4d7e670d746e1973b4e_gallery.jpeg","big_gallery":"36433e1efda4d7e670d746e1973b4e_big_gallery.jpeg","original":"36433e1efda4d7e670d746e1973b4e.jpg"},{"tiny":"761abbd058c6ce965e0729a27ec11f_tiny.jpeg","jumbo":"761abbd058c6ce965e0729a27ec11f_jumbo.jpeg","small":"761abbd058c6ce965e0729a27ec11f_small.jpeg","thumb":"761abbd058c6ce965e0729a27ec11f_thumb.jpeg","medium":"761abbd058c6ce965e0729a27ec11f_medium.jpeg","gallery":"761abbd058c6ce965e0729a27ec11f_gallery.jpeg","big_gallery":"761abbd058c6ce965e0729a27ec11f_big_gallery.jpeg","original":"761abbd058c6ce965e0729a27ec11f.jpg"},{"tiny":"82f4754763ec3ef37aad64755e68da_tiny.jpeg","jumbo":"82f4754763ec3ef37aad64755e68da_jumbo.jpeg","small":"82f4754763ec3ef37aad64755e68da_small.jpeg","thumb":"82f4754763ec3ef37aad64755e68da_thumb.jpeg","medium":"82f4754763ec3ef37aad64755e68da_medium.jpeg","gallery":"82f4754763ec3ef37aad64755e68da_gallery.jpeg","big_gallery":"82f4754763ec3ef37aad64755e68da_big_gallery.jpeg","original":"82f4754763ec3ef37aad64755e68da.jpg"},{"tiny":"5a75fe715797f5ebf07eed58c62c15_tiny.jpeg","jumbo":"5a75fe715797f5ebf07eed58c62c15_jumbo.jpeg","small":"5a75fe715797f5ebf07eed58c62c15_small.jpeg","thumb":"5a75fe715797f5ebf07eed58c62c15_thumb.jpeg","medium":"5a75fe715797f5ebf07eed58c62c15_medium.jpeg","gallery":"5a75fe715797f5ebf07eed58c62c15_gallery.jpeg","big_gallery":"5a75fe715797f5ebf07eed58c62c15_big_gallery.jpeg","original":"5a75fe715797f5ebf07eed58c62c15.jpg"},{"tiny":"74e12a73e127594f9588a99d657f93_tiny.jpeg","jumbo":"74e12a73e127594f9588a99d657f93_jumbo.jpeg","small":"74e12a73e127594f9588a99d657f93_small.jpeg","thumb":"74e12a73e127594f9588a99d657f93_thumb.jpeg","medium":"74e12a73e127594f9588a99d657f93_medium.jpeg","gallery":"74e12a73e127594f9588a99d657f93_gallery.jpeg","big_gallery":"74e12a73e127594f9588a99d657f93_big_gallery.jpeg","original":"74e12a73e127594f9588a99d657f93.jpg"},{"tiny":"5ba25dcb7f43cf061fbb90fc07f8b1_tiny.jpeg","jumbo":"5ba25dcb7f43cf061fbb90fc07f8b1_jumbo.jpeg","small":"5ba25dcb7f43cf061fbb90fc07f8b1_small.jpeg","thumb":"5ba25dcb7f43cf061fbb90fc07f8b1_thumb.jpeg","medium":"5ba25dcb7f43cf061fbb90fc07f8b1_medium.jpeg","gallery":"5ba25dcb7f43cf061fbb90fc07f8b1_gallery.jpeg","big_gallery":"5ba25dcb7f43cf061fbb90fc07f8b1_big_gallery.jpeg","original":"5ba25dcb7f43cf061fbb90fc07f8b1.jpg"},{"tiny":"07bf35ac6f50cdf9867ae948cdb75e_tiny.jpeg","jumbo":"07bf35ac6f50cdf9867ae948cdb75e_jumbo.jpeg","small":"07bf35ac6f50cdf9867ae948cdb75e_small.jpeg","thumb":"07bf35ac6f50cdf9867ae948cdb75e_thumb.jpeg","medium":"07bf35ac6f50cdf9867ae948cdb75e_medium.jpeg","gallery":"07bf35ac6f50cdf9867ae948cdb75e_gallery.jpeg","big_gallery":"07bf35ac6f50cdf9867ae948cdb75e_big_gallery.jpeg","original":"07bf35ac6f50cdf9867ae948cdb75e.jpg"},{"tiny":"a49068e2350bb3f9adb6beb5961330_tiny.jpeg","jumbo":"a49068e2350bb3f9adb6beb5961330_jumbo.jpeg","small":"a49068e2350bb3f9adb6beb5961330_small.jpeg","thumb":"a49068e2350bb3f9adb6beb5961330_thumb.jpeg","medium":"a49068e2350bb3f9adb6beb5961330_medium.jpeg","gallery":"a49068e2350bb3f9adb6beb5961330_gallery.jpeg","big_gallery":"a49068e2350bb3f9adb6beb5961330_big_gallery.jpeg","original":"a49068e2350bb3f9adb6beb5961330.jpg"},{"tiny":"5fdac0ce90f6d7b6ff7f1e203a3a16_tiny.jpeg","jumbo":"5fdac0ce90f6d7b6ff7f1e203a3a16_jumbo.jpeg","small":"5fdac0ce90f6d7b6ff7f1e203a3a16_small.jpeg","thumb":"5fdac0ce90f6d7b6ff7f1e203a3a16_thumb.jpeg","medium":"5fdac0ce90f6d7b6ff7f1e203a3a16_medium.jpeg","gallery":"5fdac0ce90f6d7b6ff7f1e203a3a16_gallery.jpeg","big_gallery":"5fdac0ce90f6d7b6ff7f1e203a3a16_big_gallery.jpeg","original":"5fdac0ce90f6d7b6ff7f1e203a3a16.jpg"},{"tiny":"5c99351e25bed3362be7b3796fa4f1_tiny.jpeg","jumbo":"5c99351e25bed3362be7b3796fa4f1_jumbo.jpeg","small":"5c99351e25bed3362be7b3796fa4f1_small.jpeg","thumb":"5c99351e25bed3362be7b3796fa4f1_thumb.jpeg","medium":"5c99351e25bed3362be7b3796fa4f1_medium.jpeg","gallery":"5c99351e25bed3362be7b3796fa4f1_gallery.jpeg","big_gallery":"5c99351e25bed3362be7b3796fa4f1_big_gallery.jpeg","original":"5c99351e25bed3362be7b3796fa4f1.jpg"},{"tiny":"1fd3872fa216cc064aa6dc2bb6dc26_tiny.jpeg","jumbo":"1fd3872fa216cc064aa6dc2bb6dc26_jumbo.jpeg","small":"1fd3872fa216cc064aa6dc2bb6dc26_small.jpeg","thumb":"1fd3872fa216cc064aa6dc2bb6dc26_thumb.jpeg","medium":"1fd3872fa216cc064aa6dc2bb6dc26_medium.jpeg","gallery":"1fd3872fa216cc064aa6dc2bb6dc26_gallery.jpeg","big_gallery":"1fd3872fa216cc064aa6dc2bb6dc26_big_gallery.jpeg","original":"1fd3872fa216cc064aa6dc2bb6dc26.jpg"},{"tiny":"57d71736664d9d4ebc9670f16e9fb3_tiny.jpeg","jumbo":"57d71736664d9d4ebc9670f16e9fb3_jumbo.jpeg","small":"57d71736664d9d4ebc9670f16e9fb3_small.jpeg","thumb":"57d71736664d9d4ebc9670f16e9fb3_thumb.jpeg","medium":"57d71736664d9d4ebc9670f16e9fb3_medium.jpeg","gallery":"57d71736664d9d4ebc9670f16e9fb3_gallery.jpeg","big_gallery":"57d71736664d9d4ebc9670f16e9fb3_big_gallery.jpeg","original":"57d71736664d9d4ebc9670f16e9fb3.jpg"},{"tiny":"bbe982741bb0a0d2c4edd75b151756_tiny.jpeg","jumbo":"bbe982741bb0a0d2c4edd75b151756_jumbo.jpeg","small":"bbe982741bb0a0d2c4edd75b151756_small.jpeg","thumb":"bbe982741bb0a0d2c4edd75b151756_thumb.jpeg","medium":"bbe982741bb0a0d2c4edd75b151756_medium.jpeg","gallery":"bbe982741bb0a0d2c4edd75b151756_gallery.jpeg","big_gallery":"bbe982741bb0a0d2c4edd75b151756_big_gallery.jpeg","original":"bbe982741bb0a0d2c4edd75b151756.jpg"},{"tiny":"8adec4d9d8d010eb3d256763268c2d_tiny.jpeg","jumbo":"8adec4d9d8d010eb3d256763268c2d_jumbo.jpeg","small":"8adec4d9d8d010eb3d256763268c2d_small.jpeg","thumb":"8adec4d9d8d010eb3d256763268c2d_thumb.jpeg","medium":"8adec4d9d8d010eb3d256763268c2d_medium.jpeg","gallery":"8adec4d9d8d010eb3d256763268c2d_gallery.jpeg","big_gallery":"8adec4d9d8d010eb3d256763268c2d_big_gallery.jpeg","original":"8adec4d9d8d010eb3d256763268c2d.jpg"},{"tiny":"64f5daa8190d44df12be1cc7223bf2_tiny.jpeg","jumbo":"64f5daa8190d44df12be1cc7223bf2_jumbo.jpeg","small":"64f5daa8190d44df12be1cc7223bf2_small.jpeg","thumb":"64f5daa8190d44df12be1cc7223bf2_thumb.jpeg","medium":"64f5daa8190d44df12be1cc7223bf2_medium.jpeg","gallery":"64f5daa8190d44df12be1cc7223bf2_gallery.jpeg","big_gallery":"64f5daa8190d44df12be1cc7223bf2_big_gallery.jpeg","original":"64f5daa8190d44df12be1cc7223bf2.jpg"},{"tiny":"2a257b3c7aa4a754b0017dbb7544c2_tiny.jpeg","jumbo":"2a257b3c7aa4a754b0017dbb7544c2_jumbo.jpeg","small":"2a257b3c7aa4a754b0017dbb7544c2_small.jpeg","thumb":"2a257b3c7aa4a754b0017dbb7544c2_thumb.jpeg","medium":"2a257b3c7aa4a754b0017dbb7544c2_medium.jpeg","gallery":"2a257b3c7aa4a754b0017dbb7544c2_gallery.jpeg","big_gallery":"2a257b3c7aa4a754b0017dbb7544c2_big_gallery.jpeg","original":"2a257b3c7aa4a754b0017dbb7544c2.jpg"},{"tiny":"9a50384cdbc2446512c68e56befac9_tiny.jpeg","jumbo":"9a50384cdbc2446512c68e56befac9_jumbo.jpeg","small":"9a50384cdbc2446512c68e56befac9_small.jpeg","thumb":"9a50384cdbc2446512c68e56befac9_thumb.jpeg","medium":"9a50384cdbc2446512c68e56befac9_medium.jpeg","gallery":"9a50384cdbc2446512c68e56befac9_gallery.jpeg","big_gallery":"9a50384cdbc2446512c68e56befac9_big_gallery.jpeg","original":"9a50384cdbc2446512c68e56befac9.jpg"},{"tiny":"bff9b615a3c5a86ebceafd3b4eb1ab_tiny.jpeg","jumbo":"bff9b615a3c5a86ebceafd3b4eb1ab_jumbo.jpeg","small":"bff9b615a3c5a86ebceafd3b4eb1ab_small.jpeg","thumb":"bff9b615a3c5a86ebceafd3b4eb1ab_thumb.jpeg","medium":"bff9b615a3c5a86ebceafd3b4eb1ab_medium.jpeg","gallery":"bff9b615a3c5a86ebceafd3b4eb1ab_gallery.jpeg","big_gallery":"bff9b615a3c5a86ebceafd3b4eb1ab_big_gallery.jpeg","original":"bff9b615a3c5a86ebceafd3b4eb1ab.jpg"},{"tiny":"a69554be08291d77c6bc1c5437d799_tiny.jpeg","jumbo":"a69554be08291d77c6bc1c5437d799_jumbo.jpeg","small":"a69554be08291d77c6bc1c5437d799_small.jpeg","thumb":"a69554be08291d77c6bc1c5437d799_thumb.jpeg","medium":"a69554be08291d77c6bc1c5437d799_medium.jpeg","gallery":"a69554be08291d77c6bc1c5437d799_gallery.jpeg","big_gallery":"a69554be08291d77c6bc1c5437d799_big_gallery.jpeg","original":"a69554be08291d77c6bc1c5437d799.jpg"},{"tiny":"a2e7448bda0fb1ea8a3ec85019bc29_tiny.jpeg","jumbo":"a2e7448bda0fb1ea8a3ec85019bc29_jumbo.jpeg","small":"a2e7448bda0fb1ea8a3ec85019bc29_small.jpeg","thumb":"a2e7448bda0fb1ea8a3ec85019bc29_thumb.jpeg","medium":"a2e7448bda0fb1ea8a3ec85019bc29_medium.jpeg","gallery":"a2e7448bda0fb1ea8a3ec85019bc29_gallery.jpeg","big_gallery":"a2e7448bda0fb1ea8a3ec85019bc29_big_gallery.jpeg","original":"a2e7448bda0fb1ea8a3ec85019bc29.jpg"},{"tiny":"8f8211347e4a560ff25777d8f8ee47_tiny.jpeg","jumbo":"8f8211347e4a560ff25777d8f8ee47_jumbo.jpeg","small":"8f8211347e4a560ff25777d8f8ee47_small.jpeg","thumb":"8f8211347e4a560ff25777d8f8ee47_thumb.jpeg","medium":"8f8211347e4a560ff25777d8f8ee47_medium.jpeg","gallery":"8f8211347e4a560ff25777d8f8ee47_gallery.jpeg","big_gallery":"8f8211347e4a560ff25777d8f8ee47_big_gallery.jpeg","original":"8f8211347e4a560ff25777d8f8ee47.jpg"},{"tiny":"c42f4503d5725f04d4ea2b7e5f20b0_tiny.jpeg","jumbo":"c42f4503d5725f04d4ea2b7e5f20b0_jumbo.jpeg","small":"c42f4503d5725f04d4ea2b7e5f20b0_small.jpeg","thumb":"c42f4503d5725f04d4ea2b7e5f20b0_thumb.jpeg","medium":"c42f4503d5725f04d4ea2b7e5f20b0_medium.jpeg","gallery":"c42f4503d5725f04d4ea2b7e5f20b0_gallery.jpeg","big_gallery":"c42f4503d5725f04d4ea2b7e5f20b0_big_gallery.jpeg","original":"c42f4503d5725f04d4ea2b7e5f20b0.jpg"},{"tiny":"d4ff17dc8f541b986aa514a8869d83_tiny.jpeg","jumbo":"d4ff17dc8f541b986aa514a8869d83_jumbo.jpeg","small":"d4ff17dc8f541b986aa514a8869d83_small.jpeg","thumb":"d4ff17dc8f541b986aa514a8869d83_thumb.jpeg","medium":"d4ff17dc8f541b986aa514a8869d83_medium.jpeg","gallery":"d4ff17dc8f541b986aa514a8869d83_gallery.jpeg","big_gallery":"d4ff17dc8f541b986aa514a8869d83_big_gallery.jpeg","original":"d4ff17dc8f541b986aa514a8869d83.jpg"},{"tiny":"dd3ea4d95f948ad463bb1e36a6f8f0_tiny.jpeg","jumbo":"dd3ea4d95f948ad463bb1e36a6f8f0_jumbo.jpeg","small":"dd3ea4d95f948ad463bb1e36a6f8f0_small.jpeg","thumb":"dd3ea4d95f948ad463bb1e36a6f8f0_thumb.jpeg","medium":"dd3ea4d95f948ad463bb1e36a6f8f0_medium.jpeg","gallery":"dd3ea4d95f948ad463bb1e36a6f8f0_gallery.jpeg","big_gallery":"dd3ea4d95f948ad463bb1e36a6f8f0_big_gallery.jpeg","original":"dd3ea4d95f948ad463bb1e36a6f8f0.jpg"},{"tiny":"2179b33ca3a4ab7eaf9a6bfeec9d4d_tiny.jpeg","jumbo":"2179b33ca3a4ab7eaf9a6bfeec9d4d_jumbo.jpeg","small":"2179b33ca3a4ab7eaf9a6bfeec9d4d_small.jpeg","thumb":"2179b33ca3a4ab7eaf9a6bfeec9d4d_thumb.jpeg","medium":"2179b33ca3a4ab7eaf9a6bfeec9d4d_medium.jpeg","gallery":"2179b33ca3a4ab7eaf9a6bfeec9d4d_gallery.jpeg","big_gallery":"2179b33ca3a4ab7eaf9a6bfeec9d4d_big_gallery.jpeg","original":"2179b33ca3a4ab7eaf9a6bfeec9d4d.jpg"},{"tiny":"1206500d843f31f607bae1ad8f1a8c_tiny.jpeg","jumbo":"1206500d843f31f607bae1ad8f1a8c_jumbo.jpeg","small":"1206500d843f31f607bae1ad8f1a8c_small.jpeg","thumb":"1206500d843f31f607bae1ad8f1a8c_thumb.jpeg","medium":"1206500d843f31f607bae1ad8f1a8c_medium.jpeg","gallery":"1206500d843f31f607bae1ad8f1a8c_gallery.jpeg","big_gallery":"1206500d843f31f607bae1ad8f1a8c_big_gallery.jpeg","original":"1206500d843f31f607bae1ad8f1a8c.jpg"},{"tiny":"80a8b84def20b7cd81cfdd764fdd32_tiny.jpeg","jumbo":"80a8b84def20b7cd81cfdd764fdd32_jumbo.jpeg","small":"80a8b84def20b7cd81cfdd764fdd32_small.jpeg","thumb":"80a8b84def20b7cd81cfdd764fdd32_thumb.jpeg","medium":"80a8b84def20b7cd81cfdd764fdd32_medium.jpeg","gallery":"80a8b84def20b7cd81cfdd764fdd32_gallery.jpeg","big_gallery":"80a8b84def20b7cd81cfdd764fdd32_big_gallery.jpeg","original":"80a8b84def20b7cd81cfdd764fdd32.jpg"}]},"perspective":"Axial","specifics":"PD fat sat"},{"id":31347465,"content_type":"image/jpeg","frames":[{"id":31347465,"width":729,"height":686,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"83f8067dbf8b5e49393bb096737886_tiny.jpeg","jumbo":"83f8067dbf8b5e49393bb096737886_jumbo.jpeg","small":"83f8067dbf8b5e49393bb096737886_small.jpeg","thumb":"83f8067dbf8b5e49393bb096737886_thumb.jpeg","medium":"83f8067dbf8b5e49393bb096737886_medium.jpeg","gallery":"83f8067dbf8b5e49393bb096737886_gallery.jpeg","big_gallery":"83f8067dbf8b5e49393bb096737886_big_gallery.jpeg","original":"83f8067dbf8b5e49393bb096737886.jpg"}]},"perspective":"Coronal","specifics":"PD fat sat"},{"id":31347466,"content_type":"image/jpeg","frames":[{"id":31347466,"width":730,"height":686,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"eeee5cc61142e107412bd15f5470c4_tiny.jpeg","jumbo":"eeee5cc61142e107412bd15f5470c4_jumbo.jpeg","small":"eeee5cc61142e107412bd15f5470c4_small.jpeg","thumb":"eeee5cc61142e107412bd15f5470c4_thumb.jpeg","medium":"eeee5cc61142e107412bd15f5470c4_medium.jpeg","gallery":"eeee5cc61142e107412bd15f5470c4_gallery.jpeg","big_gallery":"eeee5cc61142e107412bd15f5470c4_big_gallery.jpeg","original":"eeee5cc61142e107412bd15f5470c4.jpg"}]},"perspective":"Sagittal","specifics":"PD fat sat"},{"id":31347467,"content_type":"image/jpeg","frames":[{"id":31347467,"width":730,"height":686,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"e457d4b0528e4c21b36fc1584762d5_tiny.jpeg","jumbo":"e457d4b0528e4c21b36fc1584762d5_jumbo.jpeg","small":"e457d4b0528e4c21b36fc1584762d5_small.jpeg","thumb":"e457d4b0528e4c21b36fc1584762d5_thumb.jpeg","medium":"e457d4b0528e4c21b36fc1584762d5_medium.jpeg","gallery":"e457d4b0528e4c21b36fc1584762d5_gallery.jpeg","big_gallery":"e457d4b0528e4c21b36fc1584762d5_big_gallery.jpeg","original":"e457d4b0528e4c21b36fc1584762d5.jpg"}]},"perspective":"Sagittal","specifics":"PD fat sat"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"chrisodonnell","case_id":54417,"case_key_image_id":31347476,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Gross patella alta with articulation of the patellar tendon (rather than the patella) with a shallow femoral trochlea leading to patellar tendinopathy (abnormal T2 signal). Insall-Salvati index of 1.7. Caton-Deschamps index of 1.8. Abnormal T2 signal is also seen in the medial femoral condyle due to direct traumatic impact leading to "bone bruising".
Case Discussion
Patella alta leads to abnormal articulation of the patella with the femoral trochlea leading to anterior knee pain due to maltracking of the patella and the potential for lateral patellar dislocation.