Bipartite Patella Kansas City KS

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Greg Folsom, MD
Kansas City, KS
Specialty
Orthopaedic Sugeon

Data Provided By:
Dr.Sean Jackson
(913) 588-6100
3901 Rainbow Boulevard
Kansas City, KS
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 2, reviews.

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Erik Michael Wetter, MD
Kansas City, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 2003

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Gary Deaver Boston, MD
(913) 682-2040
2620 N 55th St
Kansas City, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1974

Data Provided By:
Joshua J Niemann, MD
(816) 404-5406
2301 Holmes Ortho Surgery
Kansas City, MO
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Dr.Edward Toby
(913) 588-6800
3901 Rainbow Blvd # Ms3045
Kansas City, KS
Gender
M
Education
Medical School: In Univ Sch Of Med
Year of Graduation: 1981
Speciality
Orthopedic Surgeon
General Information
Hospital: University Of K S Med Ctr, Kansas City, Ks
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 4, reviews.

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Dr.Kim Templeton
(913) 588-6100
3901 Rainbow Blvd # Ms3045
Kansas City, KS
Gender
F
Education
Medical School: Univ Of Mo, Columbia Sch Of Med
Year of Graduation: 1988
Speciality
Orthopedic Surgeon
General Information
Hospital: Kumed
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 3, reviews.

Data Provided By:
Michael D Sander, MD
Kansas City, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 2000

Data Provided By:
Robert Gary Chuinard, MD
(816) 218-2557
2310 Holmes St 800 Hospital Hill Ctr
Kansas City, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1966

Data Provided By:
Dale Elizabeth Jarka, MD
(816) 234-3693
2401 Gillham Rd
Kansas City, MO
Specialties
Orthopedics
Gender
Female
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1983

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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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