Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

A 16-year-old patient with no relevant medical history presented with pain superolateral to the patella after a sports-related injury. Subsequent imaging revealed an anatomic bipartite patella with a disrupted fibrocartilaginous junction. Anatomic bipartite patella are normal variants that typically cause minimal to no pain. Painful variants are most often corrected with surgical excision of the excess bone. Open reduction and internal fixation (ORIF) of the accessory bone to the patella is a rare but proven strategy to reduce pain without excision, especially in patients with tendinous attachment to the accessory bone.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11901418PMC
http://dx.doi.org/10.7759/cureus.78819DOI Listing

Publication Analysis

Top Keywords

bipartite patella
12
open reduction
8
reduction internal
8
internal fixation
8
anatomic bipartite
8
accessory bone
8
patella
5
fixation alternative
4
alternative approach
4
approach excision
4

Similar Publications

Bipartite patella revisited: the not so asymptomatic accessory ossicle.

Pediatr Radiol

August 2025

Division of Orthopaedic Surgery, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030, United States.

Background: The bipartite patella is a controversial variant, with definitions spanning from normal to stigmata related to patellofemoral dysplasia.

Objective: The purpose of this study is to quantitatively determine if a bipartite patella is in the spectrum of normal versus forme fruste of underlying patellofemoral dysplasia in children using magnetic resonance imaging (MRI) data. A secondary purpose is to assess the MRI findings of the symptomatic bipartite and its implications for patient care.

View Article and Find Full Text PDF

Introduction: Multipartite patella is an incidental diagnosis, rarely symptomatic, and described scantily in the literature. Symptoms are secondary to direct injury or repetitive micro-trauma, resulting in the separation of fibro-cartilaginous joints across the multiple patellar components. Treatment is usually conservative, and occasionally, in resistant cases, surgery is advised.

View Article and Find Full Text PDF

A 16-year-old patient with no relevant medical history presented with pain superolateral to the patella after a sports-related injury. Subsequent imaging revealed an anatomic bipartite patella with a disrupted fibrocartilaginous junction. Anatomic bipartite patella are normal variants that typically cause minimal to no pain.

View Article and Find Full Text PDF