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Painful bilateral bipartite patellae--case report.
K M Marya1, V Yadav, A Devagan
1Department of Orthopedics, Paraplegia, Physical Medicine & Rehabilitation, Postgraduate Institute of Medical Science, Rohtak 124 001. dr_marya@hotmail.com
Indian Journal of Medical Sciences
|September 30, 2003
Summary
Painful bipartite patella, a knee condition, can be effectively treated with local injections of bupivacaine and steroid. This minimally invasive approach provided complete symptom relief in a patient with bilateral painful bipartite patellae.
Area of Science:
- Orthopedics
- Sports Medicine
- Pain Management
Background:
- Bipartite patella is typically asymptomatic, but symptomatic cases present a clinical challenge.
- Current management for painful bipartite patella includes conservative treatments and surgical excision.
- Atypical presentations necessitate exploring alternative therapeutic strategies.
Observation:
- A patient presented with bilateral painful bipartite patellae, significantly impacting daily activities.
- Conservative treatments and standard protocols had not yielded sufficient relief.
Findings:
- Local injection of bupivacaine and methylprednisolone acetate was administered.
- The patient experienced complete resolution of pain and restoration of function.
Implications:
- Local corticosteroid and anesthetic injections offer a viable, minimally invasive treatment option for painful bipartite patella.
- This approach may prevent the need for surgical intervention in select cases.
- Further research is warranted to establish the long-term efficacy and safety of this treatment modality.