The word "rotulad" is an uncommon term, and it can be difficult to spell correctly. It is pronounced /rəʊtjʊlæd/, with the emphasis on the second syllable. The "r" is pronounced with a slightly rolled or trilled sound, while the "o" sounds like the "o" in "roses". The "t" is pronounced with a hard stop, and the "j" is pronounced like the "y" in "yellow". The "u" sounds like the "u" in "put", and the final "ad" sounds like "add".
In a direction toward the patella.
A practical medical dictionary. By Stedman, Thomas Lathrop. Published 1920.