Bipartite Patella in Children Oswego NY

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Ronald Williams Baker, MD
(315) 207-0002
140 W 6th St Ste 280
Oswego, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of South Fl Coll Of Med, Tampa Fl 33612
Graduation Year: 1996

Data Provided By:
William A Mahon
(315) 343-3992
140 W 6th St
Oswego, NY
Specialty
Orthopedic Surgery

Data Provided By:
Asamonja Kumar Roy, MD
(315) 593-3643
522 S 4th St Ste 1700
Fulton, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Patna Med Coll, Patna Univ, Bihar, India
Graduation Year: 1965

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Richard Michael Blecha, MD
(315) 598-5040
522 S 4th St Ste 1200
Fulton, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1972

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Cornell Charles Nelson
(718) 670-2747
56-45 Main St
Flushing, NY
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Dr.Ronald Baker
(315) 207-0002
140 West 6th Street #270
Oswego, NY
Gender
M
Education
Medical School: Univ Of South Fl Coll Of Med
Year of Graduation: 1996
Speciality
Orthopedic Surgeon
General Information
Hospital: Oswego
Accepting New Patients: Yes
RateMD Rating
4.5, out of 5 based on 1, reviews.

Data Provided By:
William A Mahon, MD
(315) 343-3993
140 W 6th St Ste 210
Oswego, NY
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1975

Data Provided By:
George Dermesropian
(315) 598-3585
455 South Fourth Street
Fulton, NY
Specialty
Hand Surgery

Data Provided By:
Cooper Robert
(516) 766-3730
77 N Centre Ave # 306
Rockville Centre, NY
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Bigliani Louis
(212) 305-5564
161 Fort Washington Ave # 245
New York, NY
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


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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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