Bipartite Patella in Children Petal MS

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Brian Edward Humpherys, MD
(601) 268-5630
415 S 28th Ave
Hattiesburg, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Eastern Va Med Sch Of The Med Coll Of Hampton Roads, Norfolk Va 23501
Graduation Year: 1996
Hospital
Hospital: Wesley Med Ctr, Hattiesburg, Ms
Group Practice: Hattiesburg Clinic

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Michael C Patterson, MD
(601) 554-7400
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1995

Data Provided By:
James N Sikes
(601) 554-7400
3688 Veterans Memorial Dr
Hattiesburg, MS
Specialty
Orthopedic Surgery

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Richard A Conn
(601) 554-7400
3688 Veterans Memorial Dr
Hattiesburg, MS
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Bruce Michael Mc Carthy, MD
(601) 268-5601
415 S 28th Ave
Hattiesburg, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1969

Data Provided By:
James A Antinnes
(601) 554-7451
3688 Veterans Memorial Dr
Hattiesburg, MS
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Dr.Rocco Barbieri
(601) 554-7451
3688 Veterans Memorial Dr #200
Hattiesburg, MS
Gender
M
Education
Medical School: Tufts Univ Sch Of Med
Year of Graduation: 1991
Speciality
Orthopedic Surgeon
General Information
Hospital: Forrest County Gen Hosp, Hattiesburg, Ms
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
James Norton Sikes, MD
(601) 823-4080
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduation Year: 1993
Hospital
Hospital: Kings Daughters Hospital, Brookhaven, Ms
Group Practice: Southern Bone & Joint Spec

Data Provided By:
Dr.Douglas Rouse
(601) 554-7400
3688 Veterans Memorial Dr #200
Hattiesburg, MS
Gender
M
Speciality
Orthopedic Surgeon
General Information
Hospital: 3688 Veteran Memorial Dr.
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
Douglas Wesley Rouse Jr, MD
(601) 554-7400
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduation Year: 1975

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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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