Bipartite Patella Hartwell GA

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Carl Rudolph Zooberg, MD
(352) 597-1962
127 W Gibson St
Hartwell, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Stony Brook Hlth Sci Ctr, Stony Brook Ny 11794
Graduation Year: 1979

Data Provided By:
Jesse Robinson, DMD
(706) 213-7365
6 Forest Ave
Elberton, GA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ralph L Hardin, DDS
(864) 226-2858
2315 N Main St
Anderson, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Beechard C Mc Connell, DDS
(864) 225-0380
1527 N Fant St
Anderson, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Russell K Street, DDS
(864) 224-2526
110 Buford Ave
Anderson, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Carl Rudolph Zooberg
(706) 376-0050
127 W Gibson St
Hartwell, GA
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Robert Allen Dameron Jr, MD
Anderson, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1962

Data Provided By:
Keith W Street, DMD
(864) 224-2526
110 Buford Ave
Anderson, SC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Hartwell Murray, MD
(864) 654-4747
2000 E Greenville St Ste 2600
Anderson, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1990

Data Provided By:
John David De Holl, MD
(864) 276-0056
800 N Fant St
Anderson, SC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1971
Hospital
Hospital: Anderson Area Med Ctr, Anderson, Sc
Group Practice: Anderson Orthopaedic Clinic

Data Provided By:
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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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