Patella alta
Updates to Article Attributes
Patella alta (or ahigh high riding patella) describes a situation where the position of patella is considered high. It may be idiopathic or may result secondary to a patellar tendon rupture.
Associations
Several conditions are known to be associated with patella alta, including:
- idiopathic retropatellar pain 5
- recurrent dislocation of the patella 2
- chondromalacia patellae 2
- knee joint effusion 2
Patella alta may also occur as a result of spastic cerebral palsy 6.
Radiographic features
On sagittal images it is usually considered when the Insall-Salvati ratio is greater than 1.3 - 1.5 1-3.
On radiography, it is important that standard positioning is used, with the knee flexed at 30 degrees. An off-angle x-ray beam or nonstandard positioning may result in a spuriously abnormal ratio.
-<p><strong>Patella alta</strong> (or a <strong>high riding patella</strong>) describes a situation where the position of patella is considered high. It may be idiopathic or may result secondary to a <a href="/articles/patellar-tendon-rupture">patellar tendon rupture</a>. </p><h5>Associations</h5><p>Several conditions are known to be associated with patella alta, including:</p><ul>- +<p><strong>Patella alta</strong> (or a high riding patella) describes a situation where the position of patella is considered high. It may be idiopathic or may result secondary to a <a href="/articles/patellar-tendon-rupture">patellar tendon rupture</a>. </p><h5>Associations</h5><p>Several conditions are known to be associated with patella alta, including:</p><ul>
-</ul><p>Patella alta may also occur as a result of spastic cerebral palsy <sup>6</sup>.</p><h4>Radiographic features</h4><p>On sagittal images it is usually considered when the <a href="/articles/insall-salvati-ratio">Insall-Salvati ratio</a> is greater than <strong>1.3</strong> - <strong>1.5</strong> <sup>1-3</sup>.</p><p>On radiography, it is important that standard positioning is used, with the knee flexed at 30 degrees. An off-angle x-ray beam or nonstandard positioning may result in a spuriously abnormal ratio.</p>- +</ul><p>Patella alta may also occur as a result of spastic cerebral palsy <sup>6</sup>.</p><h4>Radiographic features</h4><p>On sagittal images it is usually considered when the <a href="/articles/insall-salvati-ratio">Insall-Salvati ratio</a> is greater than 1.3 - 1.5 <sup>1-3</sup>.</p><p>On radiography, it is important that standard positioning is used, with the knee flexed at 30 degrees. An off-angle x-ray beam or nonstandard positioning may result in a spuriously abnormal ratio.</p>