Bipartite Patella in Children Haughton LA

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Steven Hospodar
(318) 456-6300
243 Curtis Rd
Barksdale Afb, LA
Specialty
Orthopedic Surgery

Data Provided By:
Daniel A Charlick, MD
(318) 456-6351
243 Curtiss Rd Ste 100
Barksdale Afb, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1998

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Corbin J Turpin, DMD
(318) 742-9274
2160 Airline Dr
Bossier City, LA
Specialties
Orthodontics/Dentofacial Orthopedics

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Dr.CLINTON MCALISTER
(318) 752-7850
2005 Landry Drive
Bossier City, LA
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

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Michael T Acurio
(318) 752-7850
2005 Landry Drive
Bossier City, LA
Specialty
Orthopaedic Surgery of the Spine

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Rudolph Cachuela, MD
243 Curtiss Rd Ste 100
Barksdale Afb, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: St Louis Univ Sch Of Med, St Louis Mo 63104
Graduation Year: 1988

Data Provided By:
Robert Elliot Schwartz, MD
(318) 752-7850
2400 Hospital Dr
Bossier City, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1979

Data Provided By:
Michael Thomas Acurio, MD
(318) 752-7850
2400 Hospital Dr Ste 130
Bossier City, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In Shreveport, Shreveport La 71130
Graduation Year: 1986

Data Provided By:
Clinton Gayle McAlister, MD
(318) 747-0310
2400 Hospital Dr Ste 130
Bossier City, LA
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1964

Data Provided By:
Diego A Miranda
(318) 212-7841
2449 Hospital Drive
Bossier City, LA
Specialty
Hand Surgery

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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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