Return to activity among athletes with a symptomatic bipartite patella: A systematic review

Matic, George T.; Flanigan, David C.

doi:10.1016/j.knee.2015.01.005

Cited by 18 publications

(14 citation statements)

References 34 publications

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“…It presents as a cartilaginous structure that begins to ossify between the ages of 3 and 5 years and continues until 9 to 10 years of age. In the majority of cases, several small foci combine to form a central nest [2] . A single ossification center is observed in 77% of children, and two or three centers are observed in the others.…”

Section: Discussionmentioning

confidence: 99%

Painful bipartite patella following injury: a case report

Boukhal

Belgadir

Jadib

et al. 2022

Radiology Case Reports

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Bipartite patella is a normal variation in ossification development. This variation is usually asymptomatic but can cause persistent and debilitating anterior knee pain with an injury. We report the case of a 56-year-old man complaining of persistent anterior left knee pain following trauma. Standard knee radiographs show a bilateral Bipartite Patella appearance, and magnetic resonance imaging shows discrete bony edema of the cancellous bone of the accessory bone and about the synchondrosis explaining the anterior knee pain, associated with a crack in the posterior compartment of the medial meniscus. Conservative care including medical treatment with non-steroidal anti-inflammatory drugs, physical therapy was used. Magnetic resonance imaging is the most valuable diagnostic tool for evaluating detailed morphologic and pathologic changes in patients with the bipartite patella.

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Section: Discussionmentioning

confidence: 99%

Painful bipartite patella following injury: a case report

Boukhal

Belgadir

Jadib

et al. 2022

Radiology Case Reports

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“…However, on the basis of the available evidence and systematic reviews, we favor arthroscopic management with the described technique to provide a minimally invasive procedure that results in few to no complications and a quicker recovery time. 1 , 2 , 3 , 10 …”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Excision of Bipartite Patella

Floyd

Falaas

Carlson

et al. 2021

Arthroscopy Techniques

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A bipartite patella usually presents as an incidental finding on radiographs because most cases are asymptomatic. However, some patients may present with pain and functional limitations. Conservative treatment is sufficient to resolve symptoms in most cases; however, a small minority of patients may require surgical management. Recent studies have reported excellent results with an arthroscopic approach. This Technical Note details our procedure for treating a symptomatic bipartite patella that has not resolved with conservative care.

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“… 8 A complete return to sport activity was reported in all arthroscopically treated patients, with advantages of the technique including decreased hospitalization time and recovery time as well as the possibility of early rehabilitation. Matic and Flanigan 10 performed a systematic review concerning the rate of return to activity in athletes with a symptomatic bipartite patella. Of all procedures, the best results were associated with the excision of the fragment, which led to a 91% return to sport rate and relief of all symptoms.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Bony Resection for Treatment of Symptomatic Bipartite Patella

Ferrari

Sanchez

Sánchez

et al. 2017

Arthroscopy Techniques

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Bipartite patella is a common pathology, affecting 2% to 3% of the population. Usually these cases are bilateral and asymptomatic. However, a patient with a bipartite patella may complain of pain, which is most likely related to fragment mobility. Conservative treatment with physiotherapy, immobilization, and nonsteroidal drugs are encouraged during the initial 6 months following diagnosis. This option is effective in most patients. For patients who do not improve with these conservative measures, surgical intervention is indicated. Many surgical treatment options have been described including excision of the fragment, as well as fixation. Fragment excision has demonstrated positive outcomes and is associated with an asymptomatic return to sport activities. The purpose of this Technical Note is to describe our preferred arthroscopic technique for the treatment of symptomatic bipartite patella.

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Return to activity among athletes with a symptomatic bipartite patella: A systematic review

Cited by 18 publications

References 34 publications

Painful bipartite patella following injury: a case report

Painful bipartite patella following injury: a case report

Arthroscopic Excision of Bipartite Patella

Arthroscopic Bony Resection for Treatment of Symptomatic Bipartite Patella

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