Normal patella - secondary ossification center
Fall with injury to the knee. Pain and difficulty weightbearing.
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There is a small linear ossific density projected anterior to the patellar surface at the inferior pole. This is not a fracture, but represents a secondary ossification center.
Don't be tempted to call this a fracture - it is a normal finding in the incompletely ossified patella in childhood. The clinical team confirmed that there was no tenderness over the inferior pole of the patella.