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Advanced Technical IVT

patella alta

Pronunciation: pa-TEL-a AL-ta

Abnormally high position of the kneecap relative to the femur.

Full Definition

Patella alta refers to an abnormally high position of the patella (kneecap) in relation to the femur. This condition can be measured using various radiographic indices, with the Insall-Salvati ratio being commonly used. Patella alta may be congenital, developmental, or acquired following trauma or surgery. The high-riding patella can lead to patellofemoral instability, recurrent dislocation, and altered knee mechanics. Patients may experience anterior knee pain, giving way episodes, and difficulty with activities requiring knee flexion.

Usage

Usage note: Latin terminology; alta means 'high'. Contrast with patella baja/infera (low position).

In Context

  • "The patient's recurrent patellar dislocations were attributed to underlying patella alta." — Sports medicine evaluation
  • "Radiographic measurement confirmed patella alta with an Insall-Salvati ratio of 1.4." — Imaging assessment

Also known as

high-riding patella

Contrasted with

patella baja patella infera

Don't confuse with

patella baja normal patellar height

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