Bipartite Patella in Children Mitchell SD

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Marcia Nelsen, MD
(605) 996-5903
2200 N Kimball St Ste 1050
Mitchell, SD
Specialties
Orthopedics
Gender
Female
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1982
Hospital
Hospital: Sacred Heart Health Services, Yankton, Sd; Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Praireland Orthopaedics

Data Provided By:
Robert Ernest Mc Whirter, MD
(605) 996-7077
1222 E 7th Ave
Mitchell, SD
Specialties
Orthopedics, Emergency Medicine
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1972
Hospital
Hospital: Platte Comm Memorial Hospital, Platte, Sd; Queen Of Peace Hospital, Mitchell, Sd
Group Practice: Mitchell Orthopaedic Ctr

Data Provided By:
Richard F Nice, MD FACS
(605) 336-2638
7 E Twin Oaks Est
Sioux Falls, SD
Gender
Male
Education
Medical School: Northwestern
Graduation Year: 1962

Data Provided By:
Walker Alan Wynkoop, MD
(605) 331-3178
1210 W 18th St
Sioux Falls, SD
Specialties
Orthopedics, General Practice
Gender
Male
Languages
Japanese
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1985

Data Provided By:
Dr.Peter Rodman
(605) 331-5890
810 E 23rd St # 5000
Sioux Falls, SD
Gender
M
Education
Medical School: Univ Of Mn Med Sch-Minneapolis
Year of Graduation: 1973
Speciality
Orthopedic Surgeon
General Information
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Accepting New Patients: Yes
RateMD Rating
3.5, out of 5 based on 2, reviews.

Data Provided By:
Felix Flores Ungacta, MD
625 N Foster St
Mitchell, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1994
Hospital
Hospital: Sioux Valley Hospital, Sioux Falls, Sd

Data Provided By:
Mark Edward Wheeler
(605) 217-2615
575 N Sioux Point Rd
Dakota Dunes, SD
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Lew Papendick
(605) 341-1414
7220 S Highway 16
Rapid City, SD
Gender
M
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd
Year of Graduation: 1984
Speciality
Orthopedic Surgeon
General Information
Hospital: Weston County Mem Hospital, Newcastle, Wy
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 4, reviews.

Data Provided By:
Steven Jay Meyer
(605) 217-2615
575 N Sioux Point Rd
Dakota Dunes, SD
Specialty
Orthopedic Surgery

Data Provided By:
Nicholas Joseph Yokan, MD
(605) 328-3700
1210 W 18th St Ste G01
Sioux Falls, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Uniformed Services Univ Of The Hlth Sci, Bethesda Md 20814
Graduation Year: 1990
Hospital
Hospital: Sioux Valley Hospital, Sioux Falls, Sd
Group Practice: Van Demark Orthopedic

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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