(Fig 4-B.06) Symptomatic Bipartite Patella

https://youtu.be/eyuYuvl3wOg?si=Oap54zIN_WM_w-r4

https://youtu.be/w63GyfUeIyw

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📌 Symptomatic Bipartite or Multipartite Patella

 

✅ MRI Findings:

• Edema in the bipartite fragment
• Fluid signal at the synchondrosis, suggesting pseudarthrosis
• Cystic subchondral marrow changes at the synchondrosis in chronic cases
• Fluid signal may be seen between the fragment and the patella

 

✅ Cartilage Involvement:

• Articular cartilage overlying the synchondrosis typically remains intact, even in advanced disease

 

✅ Treatment:

• Surgical excision or lateral retinacular release for symptomatic bipartite patella

 

References:

1. Skeletal Radiol. 2018 Aug;47(8):1069-1086
2. Magn Reson Imaging Clin N Am 22 (2014) 601–620
3. RadioGraphics 2018; 38:2069–2101
4. Stoller's Orthopaedics and Sports Medicine: by Stoller MD FACR, David W. LWW, 2016

 

#bipartitepatella, #multipartitepatella, #anteriorkneepainsyndrome, #patellarsyndrome, #MRIfindings, #pseudarthrosis, #subchondralcyst, #articularcartilage, #surgicalexcision, #lateralretinacularrelease.