Traumatic separation of an uncommon bipartite patella type: a case report

Tauber, Mark; Matis, Nicholas; Resch, Herbert

doi:10.1007/s00167-006-0107-9

Cited by 19 publications

(20 citation statements)

References 19 publications

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“…Tension band wiring may also be appropriate here; however, tenderness over the wires and subsequent removal of hardware was a problem [21,25]. Various types of soft tissue release were also performed [1,15,17], with good results, which equally may be useful in cases where a large fragment is present.…”

Section: Discussionmentioning

confidence: 99%

The management of the painful bipartite patella: a systematic review

McMahon

LeRoux

Smith

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Purpose This study aimed to identify the most effective method for the treatment of the symptomatic bipartite patella. Methods A systematic review of the literature was completed, and all studies assessing the management of a bipartite patella were included. Owing to the paucity of randomised controlled trials, a narrative review of 22 studies was completed. A range of treatments were assessed: conservative measures, open and arthroscopic fixation or excision and soft tissue release and excision. Results All of the methods provided results ranging from good to excellent, with acceptable complication rates. Conclusions This is a poorly answered treatment question. No firm guidance can be given as to the most appropriate method of treating the symptomatic bipartite patella. This study suggests that there are a number of effective treatments with acceptable complication rates and it may be that treatments that conserve the patella are more appropriate for larger fragments. Level of evidence IV.

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Section: Discussionmentioning

confidence: 99%

The management of the painful bipartite patella: a systematic review

McMahon

LeRoux

Smith

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…Numerous cases of bipartite ossific centers have been described including those in the hamate, lunate, sesamoid, parietal, atlas, cuneiform and, most frequently the bipartite patella (0.2% to 6%) [1][2][3][4][5][6][7][8][9][10][12][13][14][15][16][17][18][19][20]. Most bipartite bones represent incidental findings and are asymptomatic, but cases of painful bipartite ossification have been reported [3,9,13,14,19].…”

Section: Discussionmentioning

confidence: 99%

“…Several cases of bipartite bones have been reported [1][2][3][4][5][6][7][8][9][10][12][13][14][15][16][17][18][19][20]. The most frequent is the bipartite patella, but several other bipartite bone and epiphyses are described in the literature such as hamate [4], lunate [1], sesamoid [12], parietal [2], atlas [7], and cuneiform [3].…”

Section: Introductionmentioning

confidence: 99%

Bipartite Tibial Epiphysis: Radiologic and Arthroscopic Presentation

Negri¹,

Zappia

Filippo

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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We report the case of a bilateral bipartite ossification center of the proximal tibia in a 15-year-old boy with a history of knee injury. The presence of the duplicated ossific centers was an incidental finding on radiography and computed tomography performed after injury. Arthroscopy showed continuous hyaline cartilage between the two ossific centers confirming the diagnosis of a developmental abnormality; however, the articular surface was depressed in the region overlying the smaller ossific center. We presume the presence of an accessory center in the posteromedial aspect of the tibial plate could be a source of instability for the corresponding capsular and meniscal structures. This is, to our knowledge, the first report of tibial bipartite epiphysis.

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“…After elimination of articles based on our inclusion and exclusion criteria, 20 studies were included in our final analysis ( Fig. 1) [1,3,[7][8][9]11,15,16,[19][20][21][22][23][24][25][26][27][28][29][30].…”

Section: Methodsmentioning

confidence: 99%