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This Concept Map, created with IHMC CmapTools, has information related to: Medial Patellar Ligament Desmotomy, Indications Upward fixation of the patella causes, Desmotomy of the Medial Patellar Limagent Includes Complications The medial Patellar ligament stabilizes the patella in the trochlear groove. Without it the paella becomes unstable within the joint. This may lead to inflammation which can affect the horses soundness and performance., Indications Upward fixation of the patella Signs, Indications Upward fixation of the patella Tx, Desmotomy of the Medial Patellar Limagent Includes Sequelae 1.Femoromatellar synovitis 2. osteoarhtritis 3.Osseous fragments along the distal margin of the patella t the origin on the medial patellar ligament, Desmotomy of the Medial Patellar Limagent Includes Procedure