Bipartite patella

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Chronic anterior knee pain.

Patient Data

Age: 20 years
Gender: Male
x-ray

AP view of the knee showed a rounded corticated bony fragment in the superolateral aspect of the patella.

Lateral knee x-ray showed a lucent line in the patella. 

Fabella is noted.

Case Discussion

Features are characteristic of bipartite patella (type III according to H Saupe classification), a normal variant of the patella. It is usually asymptomatic and only 2% of patients with bipartite patella experience symptoms such as anterior knee pain, especially after trauma like in this case.

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