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Related Experiment Videos

The painful bipartite patella.

J A Ogden, S M McCarthy, P Jokl

    Journal of Pediatric Orthopedics
    |August 1, 1982
    PubMed
    Summary

    Bipartite patella, typically a variation, can be a traumatic injury in young patients. This study suggests considering it a stress fracture, leading to effective treatments like immobilization or surgery.

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    Area of Science:

    • Orthopedics
    • Pediatric Sports Medicine
    • Skeletal Development

    Background:

    • Bipartite patella is generally considered a normal developmental variation.
    • Symptomatic cases are rare and often misdiagnosed.

    Observation:

    • Two skeletally immature patients presented with symptomatic bipartite patella.
    • Clinical presentation suggested a traumatic etiology rather than a simple variation.
    • Histological and morphological assessment of patellar specimens was performed.

    Findings:

    • The study proposes that symptomatic bipartite patella can result from a traumatic chondroosseous disruption.
    • This condition is analogous to other pediatric stress fractures like Sinding-Larsen-Johansson disease and Osgood-Schlatter disease.
    • Successful treatment outcomes were achieved with both conservative (cast immobilization) and surgical interventions.

    Implications:

    • Clinicians should consider bipartite patella as a potential chronic stress fracture in symptomatic immature patients.
    • This perspective shift can lead to earlier and more appropriate treatment strategies.
    • Understanding the traumatic etiology is crucial for managing these cases effectively.

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