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Patellofemoral instability and dysfunction are frequent symptoms in Nail patella syndrome (NPS). In this article, the first large series of NPS patients is presented in which these knee symptoms were assessed using validated outcome scores.
A patella fracture usually manifests with intense knee pain and a medical history involving a direct blow to the kneecap, an indirect strain, such as the one sustained by a fall, or a combination of these forces. Dislodged bone may be observable with a bare eye, especially in the cases of open fractures.