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Dr. Peter L. Vogel explains the MPL dog condition. If you are the owner of a small breed dog that limps or even occasionally holds up a back leg, you should call your veterinarian and have them perform a physical exam. If an MPL is diagnosed, your veterinarian can prescribe the best treatment options for your pet. Medial patella luxation (MPL) is a condition in which the patella (knee-cap) no longer glides within its natural groove (sulcus) in the femur, the upper bone of the knee joint.