Bipartite Patella in Children Dover DE

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Richard Paul Dushuttle, MD
(302) 678-8447
240 Beiser Blvd # 101
Dover, DE
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1978
Hospital
Hospital: Bay Health Med Ctr -Kent, Dover, De

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J Hamilton Easter Jr, MD
(302) 735-8700
720 S Queen St
Dover, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1982
Hospital
Hospital: Bay Health Med Ctr -Kent, Dover, De
Group Practice: Tooze & Easter

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Edward B Leahey, MD FACS
102 Fox Hall Dr
Dover, DE
Gender
Male
Education
Medical School: Georgetown
Graduation Year: 1944

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Eric T Schwartz
(302) 730-0840
230 Beiser Blvd
Dover, DE
Specialty
Orthopedic Surgery

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Steven Ernest Tooze, MD
(302) 735-8700
720 S Queen St
Dover, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1979
Hospital
Hospital: Bay Health Med Ctr -Kent, Dover, De
Group Practice: Tooze & Easter

Data Provided By:
Glen David Rowe, DO
(302) 730-4366
1093 S Governors Ave
Dover, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ohio Univ, Coll Of Osteo Med, Athens Oh 45701
Graduation Year: 1984

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Stephen Gordon Manifold, MD
(302) 735-8700
720 S Queen St
Dover, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1993
Hospital
Hospital: Bay Health Med Ctr -Kent, Dover, De
Group Practice: Tooze & Easter

Data Provided By:
Dr.Glen Rowe
(302) 730-4366
540 S Governors Ave # 201
Dover, DE
Gender
M
Education
Medical School: Ohio Univ, Coll Of Osteo Med
Year of Graduation: 1984
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.5, out of 5 based on 3, reviews.

Data Provided By:
Eric Schwartz, MD
(302) 730-0840
230 Beiser Blvd Ste 100
Dover, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1988

Data Provided By:
Edward B Leahey, MD
(302) 674-1906
102 Fox Hall Dr
Dover, DE
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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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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