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Symptomatic bipartite patella: treatment alternatives
Kivanc Atesok1, M Nedim Doral, Joseph Lowe
1St. Michael's Hospital Musculoskeletal Research Lab, Toronto, Ontario, Canada.
Summary
Painful bipartite patella in adolescents often causes anterior knee pain. While most cases resolve with conservative care, surgical options like fragment excision or lateral retinacular release can offer relief when non-surgical methods fail.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Orthopedics
Background:
- Bipartite patella is typically asymptomatic but can cause anterior knee pain in adolescents.
- Pain may arise from trauma, overuse, or strenuous sports, impacting daily activities and athletic performance.
Purpose of the Study:
- To review treatment outcomes for painful bipartite patella in adolescents.
- To compare the efficacy and potential complications of surgical interventions.
Main Methods:
- Literature review of surgical and non-surgical treatments for painful bipartite patella.
- Analysis of outcomes including pain relief, fragment union, and joint function.
Main Results:
- Nonsurgical treatment is effective for most cases.
- Fragment excision is common but may cause patellofemoral incongruity if the fragment is large.
- Lateral retinacular release and vastus lateralis detachment offer pain relief and union by reducing traction forces.
Conclusions:
- Conservative management is the first line of treatment for painful bipartite patella.
- Surgical intervention should consider potential complications like patellofemoral incongruity.
- Understanding treatment consequences is vital for preserving quadriceps strength and patellofemoral joint function.
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