Description

Grelsamer et al described the morphology ratio in a sagittal X-ray of the patella. This can help classify the patella's basic shape.


 

Examination: Sagittal radiograph of the patella in its midline

Measurement

Description

a

line from superior posterior point (top of articular surface) to inferior anterior point = overall patella length

b

length of articular surface, from superior to inferior posterior aspect

 

where:

• The a and b lines form 2 sides of a triangle. The third side is the inferior border of the patella, from the posterior inferior aspect of the articular surface to the anterior inferior aspect.

 

morphology index =

= (length of a) / (length of b)

 

Morphology Index

Patella Type

< 1.2

Type III

1.2 to 1.5

Type I

> 1.5

Type II

 


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