Bipartite Patella in Children Clarksburg WV

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Dr.Doyle Sickles
(304) 624-6000
300 Davisson Run Road #302
Clarksburg, WV
Gender
M
Education
Medical School: Wv Univ Sch Of Med
Year of Graduation: 1979
Speciality
Orthopedic Surgeon
General Information
Hospital: United Hospital Center, Clarksburg, Wv
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
David L Waxman
(304) 623-5000
600 Davisson Run Rd
Clarksburg, WV
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Doyle Russell Sickles, MD
(304) 624-6000
300 Davisson Run Rd
Clarksburg, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1979
Hospital
Hospital: United Hospital Center, Clarksburg, Wv
Group Practice: University Health Associates

Data Provided By:
Charles Armand Lefebure, MD
(304) 624-7421
4 Hospital Plz
Clarksburg, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ottawa, Fac Of Med, Ottawa, Ont, Canada
Graduation Year: 1970

Data Provided By:
Dr.George Bal
(304) 598-4800
527 Medical Park Dr
Bridgeport, WV
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 5, reviews.

Data Provided By:
Matthew Philip Darmelio, MD
(304) 624-6000
300 Davisson Run Rd Ste 301
Clarksburg, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1994
Hospital
Hospital: United Hospital Center, Clarksburg, Wv; Grafton City Hospital, Grafton, Wv

Data Provided By:
Thomas Campbell Kennedy, MD
(509) 454-8888
4 Hospital Plz
Clarksburg, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1984

Data Provided By:
Charles A Lefebure
(304) 624-7421
4 Hospital Plaza
Clarksburg, WV
Specialty
Orthopedic Surgery

Data Provided By:
David Lee Waxman, MD
(304) 341-1500
600 Davisson Run Rd
Clarksburg, WV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1982
Hospital
Hospital: United Hospital Center, Clarksburg, Wv
Group Practice: University Health Associates

Data Provided By:
Hany Maher Tadros
(304) 333-3400
48 Vip Way
Fairmont, WV
Specialty
General Surgery, Hand Surgery

Data Provided By:
Data Provided By:

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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