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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:
- Skeletal Radiol. 2018 Aug;47(8):1069-1086
- Magn Reson Imaging Clin N Am 22 (2014) 601–620
- RadioGraphics 2018; 38:2069–2101
- Stoller's Orthopaedics and Sports Medicine: by Stoller MD FACR, David W. LWW, 2016
#bipartitepatella, #multipartitepatella, #anteriorkneepainsyndrome, #patellarsyndrome, #MRIfindings, #pseudarthrosis, #subchondralcyst, #articularcartilage, #surgicalexcision, #lateralretinacularrelease.
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