Bipartite Patella in Children Milledgeville GA

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Pedro Luis Tamayo, MD
(478) 452-8096
Milledgeville, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Inst Sup De Cien Med De La Habana, La Habana, Cuba
Graduation Year: 1959

Data Provided By:
Clarence Hughes Fossier, MD
(478) 457-0037
PO Box 750
Milledgeville, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1966

Data Provided By:
Mark Lewis Mudano, MD
(478) 451-0200
541 W Montgomery St Ste 1
Milledgeville, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1984

Data Provided By:
Akin Omitowoju, MD
2955 N Columbia St
Milledgeville, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Lagos, Coll Of Med, Lagos, Nigeria
Graduation Year: 1972

Data Provided By:
Robert J. Morgan, M.D.
(770) 787-4042
3211 Iris drive
Covington, GA
Business
Resurgens Orthopaedics
Specialties
Orthopedics, Sports Medicine, Shoulder & Elbow Surgery, Knee Ligament Reconstruction & Cartilage Repair, General Orthopaedics
Insurance
Insurance Plans Accepted: Accept most insurance plans

Doctor Information
Primary Hospital: Rockdale Medical Center
Residency Training: Carolinas Medical Center; Charlotte, North Carolina
Medical School: Medical University of South Carolina; Charleston, South Carolina,
Additional Information
Member Organizations: American Academy of Orthopaedic Surgeons, American Orthopaedic Society of Sports Medicine, Arthroscopy Association of North America
Languages Spoken: English

Data Provided By:
Anne T Sanchez, DMD
(478) 452-7441
1006 Fernwood Dr
Milledgeville, GA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Hopkins Ferguson, DDS
(478) 453-3445
600 N Cobb ST PO Box 850
Milledgeville, GA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Steven P Niergarth, DO
(478) 451-0040
1201 N Columbia Dr
Milledgeville, GA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ, Coll Of Osteo Med, East Lansing Mi 48824
Graduation Year: 1985

Data Provided By:
Sami O. Khan, M.D.
(770) 491-3003
2680 Lawrencevill Highway
Decatur, GA
Business
Resrugens Orthopaedics
Specialties
Orthopedics, Arthroscopic and Reconstructive Surgery of the Shoulder, Elbow and Knee, Sports Medicine, General Orthopaedics
Insurance
Insurance Plans Accepted: We accept most insurance plans

Doctor Information
Primary Hospital: Emory Eastside Hospital
Residency Training: New York University Hospital fo rJoint Disease
Medical School: Emory University School of Medicine,
Additional Information
Member Organizations: American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America, American Orthopaedic Society of Sports Medicine
Awards: Associate Team Physician, New York Mets MLB 2003-2004 Team Physician, Mississippi Valley State Delta Devils 2006-2007 Associate Physician, Alvin Ailey Dance Theater New York, 2004 Author of multiple textbook chapters involving shoulder and elbow injuri
Languages Spoken: English,Spanish

Data Provided By:
Lawrence A. Bircoll, M.D.
(770) 491-3003
2680 Lawrenceville Highway
Decatur, GA
Business
Resurgens Orthopedics
Specialties
Orthopedics
Insurance
Insurance Plans Accepted: We accept most insurance plans

Doctor Information
Primary Hospital: Dekalb Medical Center
Residency Training: Henry Ford Hospital, Detroit, Michigan
Medical School: University of Michigan School of Medicine,
Additional Information
Member Organizations: American Academy of Orthopaedics Medical Association of Georgia Atlanta Orthoapedic Society
Languages Spoken: English

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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