Bipartite Patella Kenmore WA

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Robert Joseph Bendzak, DDS
(425) 486-5033
6503 NE 181st St
Kenmore, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Steven Thos Bramwell, MD
(425) 820-1221
12707 120th Ave NE Ste 203
Kirkland, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1971

Data Provided By:
Richard Loren Angelo, MD
(425) 899-5900
12911 120th Ave Ne St H210
Kirkland, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1980

Data Provided By:
Robin Fuchs
(425) 823-4000
12911 120th Ave Ne
Kirkland, WA
Specialty
Orthopedic Surgery

Data Provided By:
Bruce Arthur Rolfe
(425) 899-6060
12303 Ne 130th Ln Ste 220
Kirkland, WA
Specialty
Orthopedic Surgery

Data Provided By:
Jeffrey Seung Roh, MD
12333 NE 130th Ln Ste 400
Kirkland, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1998

Data Provided By:
Michelle Fogg Neal, DDS
(425) 823-1234
9750 NE 120th Pl Ste 5
Kirkland, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kristina A Grey, DDS
(425) 485-9633
18321 98th Ave NE
Bothell, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Richard Eugene Hall
(425) 899-6333
12911 120th Ave Ne
Kirkland, WA
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Dr.STEVEN REED
(425) 823-4244
12911 120th Ave NE # H10
Kirkland, WA
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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