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Patellar morphology dye has noted that amphibians and some reptiles do not have osseous patellae however lizards birds and mammals do one must speculate then based on this observation that a bony patella is important in terrestrial existence. Trochlear surface of the femur the articular portion of the anterior surface of the distal femur which articulates with the patella has been referred to variously as the patellar facets of the femur the patellar groove the femoral sulcus and the trochlea. Patients experiencing patellofemoral knee arthritis will have kneecap pain and stiffness and often swelling in the front part of the knee that typically worsens when walking on inclined terrain going up and down stairs squatting or rising from a seated position patellofemoral arthritis is . Sot 5 2001 vol 24 103 chondromalacia patellae urho vaatainen kys chondromalacialla tarkoitetaan ruston pehmentymista polvilumpion ruston
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