Bipartite patella is an uncommon but potentially troublesome problem for young athletes. Numerous uncontrolled retrospective studies have reported good results after various treatments. What is needed are studies that will guide workup and support treatment decisions based on the condition of the cartilage surfaces of the fragment, presence of pseudoarthrosis, and size and location of the fragment. To support decisions, we need prospective comparative studies, either randomized or, at least, prospective cohort studies that identify patients at the time of presentation, document key decision points, and follow patients to successful resolution of symptoms.
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Treatment of symptomatic bipartite patella in patients <21 years of age: A systematic review and treatment algorithm.
J Child Orthop
December 2024
Department of Orthopaedics, Children's Hospital Boston, Boston, MA, USA.
Purpose: The purpose of this study is to develop an evidence-based algorithm for the management of symptomatic bipartite patella in the pediatric and adolescent population based on a systemic review of the published literature.
Methods: A systematic review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines on PubMed and Embase, selecting for studies discussing the management of symptomatic bipartite patella.
Results: Five studies met criteria, involving 315 knees (314 patients, average age 15.
Incidental Detection of Bilateral Tarsal 3rd Middle Phalangeal Bipartition in the Emergency Department: A Case Report.
J Orthop Case Rep
December 2024
Department of Orthopedics and Traumatology, School of Medicine, Koç University Hospital, Istanbul, Turkey.
Introduction: Bipartite bone formation is a congenital variation occurring due to the incomplete ossification of newly forming bones in the body. The patella and sesamoid bones are the most common bipartite bone sites. However, some unusual bones can also have this kind of variation and it is important to diagnose them correctly and avoid unnecessary overtreatment.
View Article and Find Full Text PDFKnee Pain, Joint Loading, and Structural Abnormalities on MRI in 13-Year-Old Children in a Population-Based Birth Cohort.
Am J Sports Med
October 2024
Department of General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Article Synopsis
- Knee pain is a common issue among 13-year-olds, with a prevalence of 8% and a high rate of chronic cases (92.3% lasting over 3 months).
- Most knee pain occurs on the front of the knee, with 37.5% of affected children experiencing pain daily.
- Children with knee pain tend to have higher body mass indexes, and structural abnormalities like Osgood-Schlatter disease and bipartite patella were more frequently observed in them via MRI.
Prevalence of Abnormalities and Normal Variants in the Adolescent Knee on MRI in a Population-Based Cohort of 3800 Knees.
Am J Sports Med
October 2024
Department of Orthopaedics and Sports Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
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- * The most common issue identified was bone marrow edema, seen in 7.3% of the participants, while other conditions like Osgood-Schlatter disease and nonossifying fibromas were also noted.
- * Results indicated certain associations between participant characteristics (such as sex and body weight) and the presence of these abnormalities, with boys showing higher rates of bone marrow edema.
Painful knee.
Int J Surg Case Rep
January 2024
South Egypt Cancer Institute, Assiut University, Egypt.
Introduction: A bipartite patella is a rare anatomical variant of the patella. A patella bipartite is often asymptomatic and is often an incidental finding on radiological imaging. The patella remains bipartite when secondary ossification centers fail to fuse.
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