Dislocated patella classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Grace M. Gibson

Classification

There are four diagnostic grades of patellar luxation, each more severe than the previous:

• Grade I - the patella can be manually luxated but is reduced (returns to the normal position) when released;
• Grade II - the patella can be manually luxated or it can spontaneously luxate with flexion of the stifle joint. The patella remains luxated until it is manually reduced or when the animal extends the joint and derotates the tibia in the opposite direction of luxation;
• Grade III - the patella remains luxated most of the time but can be manually reduced with the stifle joint in extension. Flexion and extension of the stifle results in reluxation of the patella;
• Grade IV - the patella is permanently luxated and cannot be manually repositioned. There may be up to 90¼ of rotation of the proximal tibial plateau. The femoral trochlear groove is shallow or absent, and there is displacement of the quadriceps muscle group in the direction of luxation.