Bipartite Patella in Children Waterville ME

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Marc Steven Golden, DO
(207) 873-0200
246 Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-Sch Of Osteo Med, Stratford Nj 08084
Graduation Year: 1985

Data Provided By:
Jose Antonio Ramirez, MD
(207) 873-6009
325E Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1982

Data Provided By:
James Fenwick Butler III, MD
325C Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1965

Data Provided By:
Vaughn Morgan Collett, MD
246 Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mem Univ Of Newfoundland, Fac Of Med, St Johns, Nfld, Canada
Graduation Year: 1993

Data Provided By:
Lisa Beth Sauer, MD
30 Chase Ave
Waterville, ME
Specialties
Orthopedics
Gender
Female
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1985

Data Provided By:
Catherine E Meikle, MD
(207) 873-1329
325D Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics
Gender
Female
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1984

Data Provided By:
Robert C Hottentot, DO
(207) 465-3683
180 Kennedy Memorial Dr Ste 30
Waterville, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ, Coll Of Osteo Med, East Lansing Mi 48824
Graduation Year: 1976

Data Provided By:
Dr.Marc Golden
(207) 873-0200
246 Kennedy Memorial Drive #101
Waterville, ME
Gender
M
Education
Medical School: Umdnj-Sch Of Osteo Med
Year of Graduation: 1985
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.2, out of 5 based on 4, reviews.

Data Provided By:
Andre Peter Edmonds, MD
(207) 873-3700
325D Kennedy Memorial Dr
Waterville, ME
Specialties
Orthopedics, Trauma Surgery
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1976

Data Provided By:
Albert Joseph Pepe, MD
(207) 465-7436
69 County Rd
Oakland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1966

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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