Bipartite Patella in Children Cody WY

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Dr.Frank Schmidt
(307) 578-1955
720 Lindsay Ln # C
Cody, WY
Gender
M
Education
Medical School: Baylor Coll Of Med
Year of Graduation: 1983
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
John Alfred Bluher, DDS
(307) 864-2336
1120 Beck Ave
Cody, WY
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Jimmie Biles
(307) 578-1953
720 Lindsay Ln # B
Cody, WY
Gender
M
Education
Medical School: U Of Tx Med Sch At Houston
Year of Graduation: 1981
Speciality
Orthopedic Surgeon
General Information
Hospital: West Park Hospital, Cody, Wy
Accepting New Patients: Yes
RateMD Rating
3.7, out of 5 based on 3, reviews.

Data Provided By:
Frank Hall Schmidt, MD
(307) 578-1960
720 Lindsay Ln
Cody, WY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1983

Data Provided By:
Jay Albert Winzenried, MD
(719) 333-5040
726 Allen Ave
Cody, WY
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1985
Hospital
Hospital: Powell Hospital, Powell, Wy

Data Provided By:
Stephen Foster Emery, MD
(307) 578-1959
720 Lindsay Ln
Cody, WY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1980
Hospital
Hospital: West Park Hospital, Cody, Wy; Powell Hospital, Powell, Wy
Group Practice: Big Horn Basin Orthopaedic Clinic Pc

Data Provided By:
Jay A Winzenried
(307) 527-7100
721 Sheridan Ave Ste 130
Cody, WY
Specialty
Orthopedic Surgery

Data Provided By:
Jimmie Gene Biles, MD
(307) 578-1945
720 Lindsay Ln
Cody, WY
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: U Of Tx Med Sch At Houston, Houston Tx 77225
Graduation Year: 1981
Hospital
Hospital: West Park Hospital, Cody, Wy; Powell Hospital, Powell, Wy
Group Practice: Big Horn Basin Orthopaedic Clinic Pc

Data Provided By:
Frank H Schmidt
(307) 578-1955
720 Lindsay Ln
Cody, WY
Specialty
Orthopedic Surgery

Data Provided By:
Dr.MARY NEAL
(307) 734-5999
945 W Broadway # 202
Jackson, WY
Gender
F
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
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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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