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Rapid erosion and fragmentation of the cartilage of the patella in the young adult. The cartilage loses its bluish-white shiny translucency and becomes ground down, exposing the underlying bone, which become sclerotic.
The exact cause of the syndrome is speculative. It may be secondary to trauma, recurrent Subluxation, pronated or flat feet, Morton’s syndrome, postural instability, or short-leg syndrome.
X-RAY
Early films are negative. Later, sclerosis, irregularity, and/or spurring is demonstrable, and the patellofemoral interval is narrowed.
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