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Bipartite patella

MedGen UID:
539402
•Concept ID:
C0265666
•
Congenital Abnormality
Synonyms: bifid patella; bipartite patella
SNOMED CT: Bifid patella (79214007); Bipartite patella (79214007); Bipartite kneecap (79214007)
 
HPO: HP:0010498

Definition

A developmental defect that occurs if the two halves of the patella fail to fuse in early childhood. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBipartite patella

Professional guidelines

PubMed

The management of the painful bipartite patella: a systematic review.
McMahon SE, LeRoux JA, Smith TO, Hing CB
Knee Surg Sports Traumatol Arthrosc 2016 Sep;24(9):2798-2805. Epub 2015 Jan 7 doi: 10.1007/s00167-014-3498-z. PMID: 25564195
Contemporary management of symptomatic bipartite patella.
Gaheer RS, Kapoor S, Rysavy M
Orthopedics 2009 Nov;32(11) doi: 10.3928/01477447-20090922-20. PMID: 20422748

Recent clinical studies

Etiology

Ultrasound-guided injection and the pie crust technique for the treatment of symptomatic bipartite patella.
Nakase J, Oshima T, Takata Y, Shimozaki K, Asai K, Toyooka K, Tsuchiya H
J Med Ultrason (2001) 2019 Oct;46(4):497-502. Epub 2019 Jul 1 doi: 10.1007/s10396-019-00960-4. PMID: 31264048
A rare cause of anterior knee pain: Bipartite patella.
Çarlı AB, Turgut H
Joint Bone Spine 2017 May;84(3):359. Epub 2016 Jun 17 doi: 10.1016/j.jbspin.2016.03.010. PMID: 27324607
Unique patellofemoral alignment in a patient with a symptomatic bipartite patella.
Ishikawa M, Adachi N, Deie M, Nakamae A, Nakasa T, Kamei G, Takazawa K, Ochi M
Knee 2016 Jan;23(1):127-32. Epub 2015 May 1 doi: 10.1016/j.knee.2015.04.009. PMID: 25937094
Return to activity among athletes with a symptomatic bipartite patella: a systematic review.
Matic GT, Flanigan DC
Knee 2015 Sep;22(4):280-5. Epub 2015 Jan 17 doi: 10.1016/j.knee.2015.01.005. PMID: 26014341
MRI findings in bipartite patella.
Kavanagh EC, Zoga A, Omar I, Ford S, Schweitzer M, Eustace S
Skeletal Radiol 2007 Mar;36(3):209-14. Epub 2006 Dec 6 doi: 10.1007/s00256-006-0232-z. PMID: 17151849

Diagnosis

Developmental anomaly of ossification type patella partita.
Oohashi Y
Knee Surg Sports Traumatol Arthrosc 2015 Apr;23(4):1071-6. Epub 2014 Feb 15 doi: 10.1007/s00167-014-2887-7. PMID: 24531356
MRI of anterior knee pain.
Samim M, Smitaman E, Lawrence D, Moukaddam H
Skeletal Radiol 2014 Jul;43(7):875-93. Epub 2014 Jan 29 doi: 10.1007/s00256-014-1816-7. PMID: 24473994
Contemporary management of symptomatic bipartite patella.
Gaheer RS, Kapoor S, Rysavy M
Orthopedics 2009 Nov;32(11) doi: 10.3928/01477447-20090922-20. PMID: 20422748
Symptomatic bipartite patella: treatment alternatives.
Atesok K, Doral MN, Lowe J, Finsterbush A
J Am Acad Orthop Surg 2008 Aug;16(8):455-61. doi: 10.5435/00124635-200808000-00004. PMID: 18664634
Imaging of patellofemoral disorders.
Elias DA, White LM
Clin Radiol 2004 Jul;59(7):543-57. doi: 10.1016/j.crad.2004.01.004. PMID: 15208060

Therapy

Ultrasound-guided injection and the pie crust technique for the treatment of symptomatic bipartite patella.
Nakase J, Oshima T, Takata Y, Shimozaki K, Asai K, Toyooka K, Tsuchiya H
J Med Ultrason (2001) 2019 Oct;46(4):497-502. Epub 2019 Jul 1 doi: 10.1007/s10396-019-00960-4. PMID: 31264048
The management of the painful bipartite patella: a systematic review.
McMahon SE, LeRoux JA, Smith TO, Hing CB
Knee Surg Sports Traumatol Arthrosc 2016 Sep;24(9):2798-2805. Epub 2015 Jan 7 doi: 10.1007/s00167-014-3498-z. PMID: 25564195
Contemporary management of symptomatic bipartite patella.
Gaheer RS, Kapoor S, Rysavy M
Orthopedics 2009 Nov;32(11) doi: 10.3928/01477447-20090922-20. PMID: 20422748
Painful bilateral bipartite patellae--case report.
Marya KM, Yadav V, Devagan A, Kundu ZS
Indian J Med Sci 2003 Feb;57(2):66-7. PMID: 14514271
Vastus lateralis release for painful bipartite patella.
Adachi N, Ochi M, Yamaguchi H, Uchio Y, Kuriwaka M
Arthroscopy 2002 Apr;18(4):404-11. doi: 10.1053/jars.2002.30645. PMID: 11951200

Prognosis

Ultrasound-guided injection and the pie crust technique for the treatment of symptomatic bipartite patella.
Nakase J, Oshima T, Takata Y, Shimozaki K, Asai K, Toyooka K, Tsuchiya H
J Med Ultrason (2001) 2019 Oct;46(4):497-502. Epub 2019 Jul 1 doi: 10.1007/s10396-019-00960-4. PMID: 31264048
A rare cause of anterior knee pain: Bipartite patella.
Çarlı AB, Turgut H
Joint Bone Spine 2017 May;84(3):359. Epub 2016 Jun 17 doi: 10.1016/j.jbspin.2016.03.010. PMID: 27324607
Unique patellofemoral alignment in a patient with a symptomatic bipartite patella.
Ishikawa M, Adachi N, Deie M, Nakamae A, Nakasa T, Kamei G, Takazawa K, Ochi M
Knee 2016 Jan;23(1):127-32. Epub 2015 May 1 doi: 10.1016/j.knee.2015.04.009. PMID: 25937094
Excision of painful bipartite patella: good long-term outcome in young adults.
Weckström M, Parviainen M, Pihlajamäki HK
Clin Orthop Relat Res 2008 Nov;466(11):2848-55. Epub 2008 Jul 8 doi: 10.1007/s11999-008-0367-4. PMID: 18607662Free PMC Article
Bone scintigraphy in patients with bipartite patella.
Oohashi Y, Koshino T
Knee Surg Sports Traumatol Arthrosc 2007 Nov;15(11):1395-9. Epub 2007 Apr 5 doi: 10.1007/s00167-007-0311-2. PMID: 17410345

Clinical prediction guides

Outcomes of surgical treatment of symptomatic bipartite patella in teenage athletes.
Pan T, Hennrikus WL
J Pediatr Orthop B 2022 Jul 1;31(4):371-375. Epub 2021 Feb 17 doi: 10.1097/BPB.0000000000000855. PMID: 33764034
Ultrasound-guided injection and the pie crust technique for the treatment of symptomatic bipartite patella.
Nakase J, Oshima T, Takata Y, Shimozaki K, Asai K, Toyooka K, Tsuchiya H
J Med Ultrason (2001) 2019 Oct;46(4):497-502. Epub 2019 Jul 1 doi: 10.1007/s10396-019-00960-4. PMID: 31264048
Clinical Outcome of Arthroscopic Lateral Retinacular Release for Symptomatic Bipartite Patella in Athletes.
Felli L, Formica M, Lovisolo S, Capello AG, Alessio-Mazzola M
Arthroscopy 2018 May;34(5):1550-1558. Epub 2018 Feb 15 doi: 10.1016/j.arthro.2017.11.038. PMID: 29456063
Excision of painful bipartite patella: good long-term outcome in young adults.
Weckström M, Parviainen M, Pihlajamäki HK
Clin Orthop Relat Res 2008 Nov;466(11):2848-55. Epub 2008 Jul 8 doi: 10.1007/s11999-008-0367-4. PMID: 18607662Free PMC Article
Bone scintigraphy in patients with bipartite patella.
Oohashi Y, Koshino T
Knee Surg Sports Traumatol Arthrosc 2007 Nov;15(11):1395-9. Epub 2007 Apr 5 doi: 10.1007/s00167-007-0311-2. PMID: 17410345

Recent systematic reviews

Treatment of congenital bipartite patella in pediatric population - a systematic review of the published studies.
Soini V, Raitio A, Virkki E, Syvänen J
Acta Orthop Belg 2022 Mar;88(1):87-93. doi: 10.52628/88.1.11. PMID: 35512158
The management of the painful bipartite patella: a systematic review.
McMahon SE, LeRoux JA, Smith TO, Hing CB
Knee Surg Sports Traumatol Arthrosc 2016 Sep;24(9):2798-2805. Epub 2015 Jan 7 doi: 10.1007/s00167-014-3498-z. PMID: 25564195
Return to activity among athletes with a symptomatic bipartite patella: a systematic review.
Matic GT, Flanigan DC
Knee 2015 Sep;22(4):280-5. Epub 2015 Jan 17 doi: 10.1016/j.knee.2015.01.005. PMID: 26014341
Efficacy of surgical interventions for a bipartite patella.
Matic GT, Flanigan DC
Orthopedics 2014 Sep;37(9):623-8. doi: 10.3928/01477447-20140825-07. PMID: 25350615

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