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Abstract Patellar instability requires an intricate understanding in order to properly treat patients. Often, the etiology of this entitiy is multifactorial, combining a series of physiologic and anatomic variables. A thorough history and physical as well as imaging examinations are critical in both establishing the diagnosis and instituting the correct treatment. Digital radiography is a well established imaging modality in diagnosing patellar instability, However there are limited reports of a measure of patella position using ultrasound. Lack of radiation and availability of ultrasound make it a superb modlity worth establishing in the diagnosis of patellar maltracking |