Lateral patellar tilt and subluxation with patellofemoral cartilage degeneration that is worst laterally. There is trochlear dysplasia and borderline tibial lateralization but no other stigmata of instability and no bone bruising that would indicate a recent dislocation. Prominent exostosis off of the posterior aspect of the medial tibial plateau. Marrow appears to be contiguous with the marrow in the proximal tibia which would favor this representing an osteochondroma. This is in contact with both the posterior cruciate ligament and the posterior aspect of the medial femoral condyle. This would certainly be expected to cause impingement in flexion.

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Chapter6: The Skeletal System
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Lateral patellar tilt and subluxation with patellofemoral cartilage degeneration that is worst laterally. There is trochlear dysplasia and borderline tibial lateralization but no other stigmata of instability and no bone bruising that would indicate a recent dislocation.

Prominent exostosis off of the posterior aspect of the medial tibial plateau. Marrow appears to be contiguous with the marrow in the proximal tibia which would favor this representing an osteochondroma. This is in contact with both the posterior cruciate ligament and the posterior aspect of the medial femoral condyle. This would certainly be expected to cause impingement in flexion. 

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