Bipartite patella - symptomatic

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Anterior knee pain. Worse after sports.

Patient Data

Age: 16 years
Gender: Male
x-ray

Bipartite right patella; unipartite left patella. No fracture or focal osseous lesion. No joint effusion. 

Bipartite patella with edema adjacent to the synchondrosis. Remainder of the examination is unremarkable. 

Case Discussion

Bipartite patellas are common and the vast majority are asymptomatic. Rarely, they can be a cause of anterior knee pain. Edema adjacent to the synchondrosis is a sign of a symptomatic bipartite patella and no alternative for anterior knee pain can be seen in this patient. 

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