Bipartite Patella in Children Prineville OR

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Richard Henry Bolt, MD
(541) 923-4382
3310 NW Tetherow Bridge Loop
Redmond, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1970
Hospital
Hospital: Memorial Hospital At Oconomowo, Oconomowoc, Wi; Waukesha Memorial Hospital, Waukesha, Wi
Group Practice: Orthopaedic Assoc-Waukesha

Data Provided By:
Scot E Burgess, DMD
(541) 923-7432
PO Box 697 710 SW Highland Ave
Redmond, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Brett Gingold
(541) 388-2333
1315 Northwest 4th Street
Redmond, OR
Gender
M
Education
Medical School: Univ Of Vt Coll Of Med
Year of Graduation: 1997
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

Data Provided By:
Michael Mstislavovich Ivanitsky
(541) 271-6377
600 Ranch Road
Reedsport, OR
Specialty
Orthopedic Surgery

Data Provided By:
Mark Delano Peterson, MD
(541) 779-6250
2780 E Barnett Rd Ste 200
Medford, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1988

Data Provided By:
James Roy Karmy, MD
(541) 923-0728
333 NW Larch Ave
Redmond, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1973
Hospital
Hospital: Mountain View Hospital Dist, Madras, Or; Central Oregon District Hosp, Redmond, Or
Group Practice: Redmond Orthopedic Clinic

Data Provided By:
Kathleen R Moore, MD
(541) 388-2333
2300 SW Glacier Pl
Redmond, OR
Specialties
Orthopedics
Gender
Female
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1989

Data Provided By:
Howard James Geist, MD
(503) 223-8017
Portland, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Harvard Med Sch, Boston Ma 02115
Graduation Year: 1955

Data Provided By:
Andrew Godzyk, DMD
(503) 654-4444
11162 SE 23rd Ave
Milwaukie, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David A Capen, MD
86 SW Century Dr
Bend, OR
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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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