Bipartite Patella Front Royal VA

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James Edward Favareau
(540) 636-6177
318 N Royal Ave
Front Royal, VA
Specialty
Orthopedic Surgery

Data Provided By:
Daniel L Zimet
(540) 631-9214
842 N Shenandoah Ave
Front Royal, VA
Specialty
Orthopedic Surgery

Data Provided By:
Damon W Dearment, DDS
(540) 667-9662
1010 Amherst St
Winchester, VA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John H Zoller, MD
(540) 662-0377
128 Medical Cir
Winchester, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ohio, Toledo Oh 43699
Graduation Year: 1981

Data Provided By:
Stephen Hudnall Martenson
(540) 667-8975
128 Medical Cir
Winchester, VA
Specialty
Orthopedic Surgery

Data Provided By:
Daniel Leonard Zimet, MD
(610) 384-4755
842 N Shenandoah Ave
Front Royal, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1978

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James E Favareau, MD
(540) 636-6177
318 N Royal Ave
Front Royal, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1975

Data Provided By:
Amit Kumar Soam, MR
123456789
India
Noida, NY
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Graduation Year: 2000

Data Provided By:
Dwight Thomas Kemp, DO
(540) 843-2085
Winchester, VA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Philadelphia Coll Of Osteo Med, Philadelphia Pa 19131
Graduation Year: 1989

Data Provided By:
Dr.Dwight Kemp
(540) 667-9252
190 Campus Blvd # 310
Winchester, VA
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, 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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