Bipartite patella.
Bipartite patella is failure of the ossification centers of the patella to fuse.
Types of bipartite patella
- Inferior pole two
- Lateral margin
- Superolateral pole
Here is an example of bipartite patella at the superolateral pole. The accessory ossification center at the superolateral pole remains unfused. You will see the patella have two bones. The smaller part is the unfused segment, and it is rounded and usually located laterally. It can be confused with a fracture. It is usually asymptomatic. We find it as an incidental finding, causing symptoms that can be mimicking a fracture. A minor trauma or injury can cause the fibrous tissue between the two segments to become inflamed, and irritated.
Treatment of bipartite patella
- Rest
- knee immobilizer
- Physiotherapy
- Non-steroidal
If the fragment is small and very painful, you can excise the fragment. If the fragment is large and painful and the conservative treatment fails, then he can do lateral release to reduce the traction force on the smaller fragment. Source… Wikipedia
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This is an example of the lateral release Rarely we do fixation and bone graft. If the fragment is large All my videos and this video is for educational purposes only. Please consult your doctor before you make any decision about your medical care