Bipartite Patella North Augusta SC

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Mercer T Bridges, MD FACS
618 Bramble Rd
North Augusta, SC
Gender
Male
Education
Medical School: Georgia
Graduation Year: 1963

Data Provided By:
Thomas Edward Bailey
(706) 722-3401
811 13th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Patrick Book Leach, MD
(706) 721-2847
1120 15th St BP 2108
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1996

Data Provided By:
John Simpson Clapp
(706) 721-1801
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Michael Charles Tucker, MD
(706) 721-2847
937 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Univ Of Sc Coll Of Med, Charleston Sc 29425
Graduation Year: 1990

Data Provided By:
Michael C Tucker
(706) 721-2741
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Brad Freidinger, MD
(706) 721-2846
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Joseph Paul Rectenwald
(706) 722-3401
811 13th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
Eric David Lincoln
(706) 721-1633
1120 15th St
Augusta, GA
Specialty
Orthopedic Surgery

Data Provided By:
David Gallagher, MD
(706) 721-2849
1120 15th St
Augusta, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 2001

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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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