Bipartite Patella in Children Kalispell MT

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Stanley Harland Makman, MD
(406) 752-7900
111 Sunnyview Ln
Kalispell, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1988

Data Provided By:
Michael P Stebbins, DDS
(406) 752-1131
1860 US Highway 93 N
Kalispell, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Albert Olszewski
(406) 752-7900
111 Sunnyview Lane
Kalispell, MT
Gender
M
Education
Medical School: Univ Of Wa Sch Of Med
Year of Graduation: 1988
Speciality
Orthopedic Surgeon
General Information
Online Appt Scheduling: Yes
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Kim D Stimpson
(406) 752-6784
350 Heritage Way
Kalispell, MT
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Don Ericksen
(406) 752-7900
All Families Healthcare, 1060 North Meridian Road
Kalispell, MT
Gender
M
Education
Medical School: Univ Of Wa Sch Of Med
Year of Graduation: 1992
Speciality
Orthopedic Surgeon
General Information
Online Appt Scheduling: Yes
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
James P Blasingame
(406) 752-6784
350 Heritage Way
Kalispell, MT
Specialty
Orthopedic Surgery

Data Provided By:
William Butcher, MD
(406) 752-7900
111 Sunnyview Ln
Kalispell, MT
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Ned Andrew Wilson, MD
(406) 752-7900
111 Sunnyview Ln Ste A
Kalispell, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1986

Data Provided By:
Timothy Albert DuMontier
(406) 752-6784
350 Heritage Way
Kalispell, MT
Specialty
Foot & Ankle Surgery

Data Provided By:
Stanley Harland Makman
(406) 752-7900
111 Sunnyview Ln
Kalispell, MT
Specialty
Orthopedic Surgery

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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