Download PDF
J Knee Surg 2013; 26(S 01): S072-S076
DOI: 10.1055/s-0032-1313746
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Symptomatic Bipartite Patella: Three Subtypes, Three Representative Cases

Shawn Werner
1   Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon
,
Michael Durkan
1   Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon
,
Jackson Jones
1   Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon
,
Samantha Quilici
1   Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon
,
Dennis Crawford
1   Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, Oregon
› Author Affiliations
Further Information

Publication History

16 May 2011

28 December 2011

Publication Date:
21 May 2012 (online)

    Permissions and Reprints

Abstract

Bipartite patella can be classified into three unique subtypes; type I, II, and III. The following case series describes three representative cases of each subtype and a spectrum of location-specific treatment options for surgical care of the symptomatic bipartite patella.

Keywords

bipartite patella - synchondrosis - chondromalacia patella
 

  • References

  • 1 Greeley PW. Multiple ossification centers of the patella. Am J Surg 1932; 28: 456
    PubMedGoogle Scholar
  • 2 Atesok K, Doral MN, Lowe J, Finsterbush A. Symptomatic bipartite patella: treatment alternatives. J Am Acad Orthop Surg 2008; 16 (8) 455-461
    PubMedGoogle Scholar
  • 3 Ogden JA, McCarthy SM, Jokl P. The painful bipartite patella. J Pediatr Orthop 1982; 2 (3) 263-269
    CrossrefPubMedGoogle Scholar
  • 4 Bourne MH, Bianco Jr AJ. Bipartite patella in the adolescent: results of surgical excision. J Pediatr Orthop 1990; 10 (1) 69-73
    PubMedGoogle Scholar
  • 5 Canizares GH, Selesnick FH. Bipartite patella fracture. Arthroscopy 2003; 19 (2) 215-217
    CrossrefPubMedGoogle Scholar
  • 6 Tauber M, Matis N, Resch H. Traumatic separation of an uncommon bipartite patella type: a case report. Knee Surg Sports Traumatol Arthrosc 2007; 15 (1) 83-87
    CrossrefPubMedGoogle Scholar
  • 7 Green Jr WT. Painful bipartite patellae. A report of three cases. Clin Orthop Relat Res 1975; (110) 197-200
    PubMedGoogle Scholar
  • 8 Gaheer RS, Kapoor S, Rysavy M. Contemporary management of symptomatic bipartite patella. Orthopedics 2009; 32 (11)
    PubMedGoogle Scholar
  • 9 Weckström M, Parviainen M, Pihlajamäki HK. Excision of painful bipartite patella: good long-term outcome in young adults. Clin Orthop Relat Res 2008; 466 (11) 2848-2855
    CrossrefPubMedGoogle Scholar
  • 10 Scapinelli R. Blood supply of the human patella. Its relation to ischaemic necrosis after fracture. J Bone Joint Surg Br 1967; 49 (3) 563-570
    PubMedGoogle Scholar
  • 11 Shim SS, Leung G. Blood supply of the knee joint. A microangiographic study in children and adults. Clin Orthop Relat Res 1986; (208) 119-125
    PubMedGoogle Scholar
  • 12 Kirschner MH, Menck J, Nerlich A, Walser R, Bühren V, Hofmann GO. The arterial blood supply of the human patella. Its clinical importance for the operating technique in vascularized knee joint transplantations. Surg Radiol Anat 1997; 19 (6) 345-351
    CrossrefPubMedGoogle Scholar
  • 13 Oohashi Y, Koshino T, Oohashi Y. Clinical features and classification of bipartite or tripartite patella. Knee Surg Sports Traumatol Arthrosc 2010; 18 (11) 1465-1469
    CrossrefPubMedGoogle Scholar
  • 14 Okuno H, Sugita T, Kawamata T, Ohnuma M, Yamada N, Yoshizumi Y. Traumatic separation of a type I bipartite patella: a report of four knees. Clin Orthop Relat Res 2004; (420) 257-260
    PubMedGoogle Scholar
  • 15 Kavanagh EC, Zoga A, Omar I, Ford S, Schweitzer M, Eustace S. MRI findings in bipartite patella. Skeletal Radiol 2007; 36 (3) 209-214
    CrossrefPubMedGoogle Scholar
  • 16 Oohashi Y, Koshino T. Bone scintigraphy in patients with bipartite patella. Knee Surg Sports Traumatol Arthrosc 2007; 15 (11) 1395-1399
    CrossrefPubMedGoogle Scholar
  • 17 Marya KM, Yadav V, Devagan A, Kundu ZS. Painful bilateral bipartite patellae—case report. Indian J Med Sci 2003; 57 (2) 66-67
    PubMedGoogle Scholar
  • 18 Felli L, Fiore M, Biglieni L. Arthroscopic treatment of symptomatic bipartite patella. Knee Surg Sports Traumatol Arthrosc 2011; 19 (3) 398-399
    CrossrefPubMedGoogle Scholar
  • 19 Jackson AM. Anterior knee pain. J Bone Joint Surg Br 2001; 83 (7) 937-948
    CrossrefPubMedGoogle Scholar
  • 20 Mori Y, Okumo H, Iketani H, Kuroki Y. Efficacy of lateral retinacular release for painful bipartite patella. Am J Sports Med 1995; 23 (1) 13-18
    CrossrefPubMedGoogle Scholar