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The condition also appears when the medial patellar ligament has a reason to become long enough to reach over the medial trochlear ridge despite normal hind limb conformation.
Following medial patellar desmotomy, healing of the medial patellar ligament occurs and the ligament becomes thickened throughout its entire length.
However, failure of medial patellar desmotomy to correct the problem has also been reported when the persisting medial patellar ligament tissue still displaces over the medial trochlear ridge.

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