Bipartite Patella in Children Brookings SD

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David L Meyer, DDS
(605) 692-7511
105 22nd Ave
Brookings, SD
Specialties
Orthodontics/Dentofacial Orthopedics

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John David Ramsay, MD
(605) 692-6236
400 22nd Ave
Brookings, SD
Specialties
Orthopedics, Aerospace Medicine
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1974
Hospital
Hospital: Brookings Hosp, Brookings, Sd
Group Practice: Brookings Medical Clinic

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Steven Jerome Stokesbary
(605) 217-2615
575 N Sioux Point Rd
Dakota Dunes, SD
Specialty
Orthopedic Surgery

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Dr.DON SWIFT
(605) 689-6890
2007 Locust Street
Yankton, SD
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Robert Eugene Van Demark Jr, MD
(605) 335-3707
1210 W 18th St
Sioux Falls, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1976
Hospital
Hospital: Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Van Demark Orthopedic Spclst

Data Provided By:
John D Ramsay
(605) 697-9500
400 22nd Ave.
Brookings, SD
Specialty
Orthopedic Surgery

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Doug Donald Neilson, MD
(605) 668-8780
1000 W 4th St Ste 1
Yankton, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Saskatchewan, Coll Of Med, Saskatoon, Sask, Canada
Graduation Year: 1976

Data Provided By:
James Brian Mac Dougall, MD
(605) 226-2663
701 8th Ave NW
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1985

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Dr.Peter Looby
(605) 331-5890
810 E 23rd St # 5000
Sioux Falls, SD
Gender
M
Education
Medical School: Washington Univ Sch Of Med
Year of Graduation: 1990
Speciality
Orthopedic Surgeon
General Information
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Accepting New Patients: Yes
RateMD Rating
4.1, out of 5 based on 15, reviews.

Data Provided By:
Mark Charles Harlow, MD
(605) 229-0205
201 S Lloyd St
Aberdeen, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1968
Hospital
Hospital: St Lukes Midland Reg Med Ctr, Aberdeen, Sd
Group Practice: Aberdeen Association-Ortho Sur

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Bipartite Patella in Children

A Patient's Guide to Bipartite Patella in Children

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 child grows. 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.

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 training, and strenuous activity aggravate the knee causing increased symptoms....

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