The medial patellofemoral ligament (MPFL) attachment is defined in relation to the anterior-posterior size of the medial femoral condyle: If the anterior-posterior size is referred to as 100%, then the MPFL attachment is 40% from the posterior and 50% from the distal outline. (Reprinted with permission from Stephen JM, Lumpaopong P, Deehan DJ, Kader D, Amis AA. The medial patellofemoral ligament: location of femoral attachment and length change patterns resulting from anatomic and nonanatomic attachments. Am J Sports Med. 2012;40:1871–1879. #2012, The American Orthopaedic Society for Sports Medicine)