Bipartite Patella Billings MT

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Alan K Dacre
(406) 238-6540
2900 12th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Matthew Alan Kopplin, MD
(406) 238-5200
2702 8th Ave N
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1996

Data Provided By:
Mark Catesby Willis Jr, MD
(406) 238-5200
2702 8th Ave N
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1994

Data Provided By:
Perry M Berg, MD FACS
2900 12th Ave N
Billings, MT
Gender
Male
Education
Medical School: Tennessee
Graduation Year: 1946

Data Provided By:
Barry Nathan Smith, MD
(406) 238-5215
2702 8th Ave N
Billings, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1994

Data Provided By:
Ralph Michael Costanzo, MD
(406) 238-6700
2900 12th Ave N Ste 100E
Billings, MT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1988

Data Provided By:
Dr.James Elliott
(406) 238-6540
2900 12th Ave N # 140W
Billings, MT
Gender
M
Education
Medical School: Univ Of Wa Sch Of Med
Year of Graduation: 1987
Speciality
Orthopedic Surgeon
General Information
Hospital: St Vincent Hosp &
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Gregory Scott Mc Dowell, MD
(406) 238-6540
2900 12th Ave N Ste 140W
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1986

Data Provided By:
Gregory S McDowell
(406) 238-6540
2900 12th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Dr.John Wilson
(406) 238-6540
2900 12th Ave N # 140W
Billings, MT
Gender
M
Education
Medical School: Univ Of Az Coll Of Med
Year of Graduation: 1986
Speciality
Orthopedic Surgeon
General Information
Hospital: St Vincents
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 3, reviews.

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Bipartite Patella

A Patient's Guide to Bipartite Patella
Introduction

Bipartite patella is a congenital condition (present at birth) that occurs when the patella (kneecap) is made of two bones instead of a single bone. Normally, the two bones would fuse together as the you grow. But in bipartite patella, they remain as two separate bones. About one per cent of the population has this condition. Boys are affected much more often than girls. When this condition is discovered in adulthood it is oftentimes an “incidental finding”.

This guide will help you understand

what parts of the knee are involved how this condition develops how doctors diagnose this condition what treatment options are available Anatomy

What is the patella and what does it do?


The knee is the meeting place of two important bones in the leg, the femur (the thighbone) and the tibia (the shinbone). The patella (kneecap) is the moveable bone that sits in front of the knee. This unique bone is wrapped inside a tendon that connects the large muscles on the front of the thigh, the quadriceps muscles , to the lower leg bone.

Related Document: A Patient's Guide to Knee Anatomy

Causes

What causes this condition?

The patella starts out as a piece of fibrous cartilage. It turns into bone or ossifies as part of the growth process. Each bone has an ossification center. This is the first area of the structure to start changing into bone.

Most bones (including the patella) only have one primary ossification center. But in some cases, a second ossification center is present. Normally, these two centers of bone will fuse together during late childhood or early adolescence. If they don’t ossify together, then the two pieces of bone remain connected by fibrous or cartilage tissue. This connective tissue is called a synchondrosis .

The most common location of the second bone is the supero-lateral (upper outer) corner of the patella. But the problem can occur at the bottom of the patella or along the side of the kneecap.

Injury or direct trauma to the synchondrosis can cause a separation of this weak union leading to inflammation. Repetitive microtrauma can have the same effect. The cartilage has a limited ability to repair itself. The increased mobility between the main bone and the second ossification center further weakens the synchondrosis resulting in painful symptoms.

Symptoms

What does bipartite patella feel like?

Most of the time, there are no symptoms. Sometimes there is a bony bump or place where the bone sticks out more on one side than the other. If inflammation of the fibrous tissue between the two bones occurs, then painful symptoms develop directly over the kneecap. The pain is usually described as dull aching. There may be some swelling.

Movement of the knee can be painful, especially when bending the joint. Atrophy of the quadriceps and malalignment of the patella can lead to patellar tracking problems. Squatting, stair climbing, weight trai...

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