Bipartite Patella in Children North Providence RI

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Edward Akelman, MD
(401) 457-1500
2 Dudley St
Providence, RI
Business
University Orthopedics Inc
Specialties
Orthopedics

Data Provided By:
Elizabeth Gail Matzkin, MD
(401) 398-2595
285 Promenade St
Providence, RI
Specialties
Orthopedics
Gender
Female
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1998

Data Provided By:
Lawrence W Lee
(401) 459-4001
285 Promenade St
Providence, RI
Specialty
Orthopedic Surgery

Data Provided By:
Lawrence Wallace Lee, MD
(401) 723-8300
285 Promenade St
Providence, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1984

Data Provided By:
Michael Edward Wiggins, MD
(401) 723-8300
285 Promenade St
Providence, RI
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1988

Data Provided By:
Dr.Joseph A. Izzi Jr
(401) 353-5550
1351 Smith St # 103
North Providence, RI
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 6, reviews.

Data Provided By:
Dr.Christopher Huntington
(401) 272-9500
955 Chalkstone Avenue
Providence, RI
Gender
M
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ
Year of Graduation: 1990
Speciality
Orthopedic Surgeon
General Information
Hospital: Roger Williams Med Ctr, Providence, Ri
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
Joseph Anthony Izzi
(401) 353-5550
1351 Smith St
North Providence, RI
Specialty
Hand Surgery

Data Provided By:
Christopher Fell Huntington
(401) 272-9500
955 Chalkstone Ave
Providence, RI
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Joseph A Izzi
(401) 353-5520
1351 Smith St
North Providence, RI
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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