Bipartite Patella Scottsbluff NE

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Calvin M Oba, MD
(308) 630-8215
2100 Circle Dr Apt 215
Scottsbluff, NE
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Lee Wayne Hash, MD
(308) 635-1414
2 W 42nd St Ste 120
Scottsbluff, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1988

Data Provided By:
Thomas Frederick Eastman, MD
(308) 635-1414
2 W 42nd St Ste 120
Scottsbluff, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1981

Data Provided By:
Calvin M Oba, MD FACS
(308) 630-8215
2100 Circle Dr
Scottsbluff, NE
Gender
Male
Education
Medical School: Colorado
Graduation Year: 1952

Data Provided By:
James Joseph Simpson, MD
(308) 635-1414
2 W 42nd St Ste 120
Scottsbluff, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1965
Hospital
Hospital: Regional West Med Ctr, Scottsbluff, Ne
Group Practice: Scottsbluff Orthopedic Assoc

Data Provided By:
Wendell Fred Ropp, MD
(308) 635-1414
2 W 42nd St Ste 120
Scottsbluff, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1965

Data Provided By:
John Arnold Des Enfants, DDS
(308) 632-2433
2400 Broadway
Scottsbluff, NE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Diane Elaine Gilles, MD
(308) 635-1414
2 W 42nd St Ste 120
Scottsbluff, NE
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1980
Hospital
Hospital: Garden County Hospital, Oshkosh, Ne; Memorial Health Center, Sidney, Ne; Regional West Med Ctr, Scottsbluff, Ne
Group Practice: Scottsbluff Orthopedic Assoc

Data Provided By:
Timothy James Friedlein, MD
(888) 635-1114
2 W 42nd St Ste 120
Scottsbluff, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1986

Data Provided By:
Bryan Eric Scheer, MD
(308) 630-8900
3911 Ave B Medical Plaza South Ste 3400
Scottsbluff, NE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1998

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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