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Table 2 The Dejour’s classification of trochlear dysplasia

From: Updated treatment guidelines for patellar instability: “un menu à la carte”

Type

Sagittal View

Axial images

A (54%)

CS

Shallower trochlea

B (17%)

CS and SS

Flat or convex

C (9%)

CS and DC

Convex lateral facet and hypoplastic medial facet

D (11%)

CS, SS, DC

A prominent and convex lateral facet with a vertical connection (squared) to an hypoplastic medial facet almost absent (cliff pattern).

  1. Cross-checking the radiographic sagittal view and the cross-sectional images is fundamental to include a patient within one of those trochlear types
  2. CS Crossing sign, SS Supratrochlear spur, DC Double contour