Pediatr. praxi. 2012;13(1):29-32

Congenital defects and anatomical variations of the patella in children and adolescents

MUDr.Vojtěch Havlas, Ph.D., MUDr.Jan Kotaška, MUDr.Richard Paděra, MUDr.Alena Schejbalová
Ortopedická klinika UK, 2. LF a FN v Motole, Praha

Congenital and developmental dislocation of the patella, bipartite patella, and symptomatic medial plica plica syndrome belong amongst

the diagnostically and therapeutically most frequent diagnoses in the region of the paediatric patello-femoral joint. Treatment depends

on the clinical manifestation of the pathology. In most cases the treatment should be either conservative or surgical. Congenital dislocation

of the patella is usually indicated to early surgical management. Bipatite patella is successfully treated conservatively in most

cases. Medial plica syndrome can be misdiagnosed with medial cartilage or meniscal problem. Arthroscopic management has very good

outcome in case of appropriate diagnosis.

Keywords: patella, bipartite patella, dislocation, medial plica syndrome

Published: March 1, 2012  Show citation

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Havlas V, Kotaška J, Paděra R, Schejbalová A. Congenital defects and anatomical variations of the patella in children and adolescents. Pediatr. praxi. 2012;13(1):29-32.
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References

  1. Carpintero P, Mesa M, Carpintero A. Bilateral congenital dislocation of the patella. Acta Orthop Belg 1996; 62: 113. Go to PubMed...
  2. Eilert RE. Congenital dislocation of the patella. Clin Orthop Relat Res. 2001; 389: 22. Go to original source... Go to PubMed...
  3. Gordon JE, Schoenecker PL. Surgical treatment of congenital dislocation of the patella. J Pediatr Orthop 1999; 19: 260. Go to original source... Go to PubMed...
  4. Green JP, Waugh W, Wood H. Congenital lateral dislocation of the patella. J Bone Joint Surg Br 1968; 50: 285. Go to original source...
  5. Koplewitz BZ, Babyn PS, Cole WG. Congenital dislocation of the patella. Am J Roentgenol 2005; 184(5): 1640-1646. Go to original source... Go to PubMed...
  6. Walmsley R. The development of the patella. J Anat 1939; 74: 360-369.
  7. Kocher MS, DiCanzio J, Zurakowski O, Micheli LJ. Diagnostic performance of clinical examination and selective magnetic resonance imaging in the evaluation of intra-articular knee disorders in children and adolescents. Am J Sports Med 2001; 29(3): 292. Go to original source... Go to PubMed...
  8. Langenskiold A, Ritsila V. Congenital dislocation of the patella and its operative treatment. I Pediatr Orthop 1992; 12: 315. Go to original source... Go to PubMed...
  9. Wada A, Fujii T, Takamura K, et al. Congenital dislocation of the patella. J Child Orthop 2008; 2(2): 119-123. Go to original source... Go to PubMed...
  10. Walmsley R. The development of the patella. J Anat 1939, 74: 360-369.
  11. Busch MT. Care of the Young Athlete. In: Pediatric Orthopaedics by Lovell and Winter. Edited by Morrissy and Weinstein. Lippencott 2000.
  12. Adachi N, Ochi M, Yamaguchi H, et al. Vastus lateralis release for painful bipartite patella. Arthroscopy 2002; 18: 404-411. Go to original source... Go to PubMed...
  13. Azarbod P, Agar G, Patel V. Arthroscopic excision of a painful bipartite patella fragment. Arthroscopy 2005; 21: 1006. Go to original source... Go to PubMed...
  14. Bourne MH, Bianco AJ Jr. Bipartite patella in the adolescent: results of surgical excision. J Pediatr Orthop 1990; 10: 69-73. Go to original source... Go to PubMed...
  15. Canizares GH, Selesnick FH. Bipartite patella fracture. Arthroscopy 2003; 19: 215-217. Go to original source... Go to PubMed...
  16. Carter SR. Traumatic separation of a bipartite patella. Injury 1989; 20: 244. Go to original source... Go to PubMed...
  17. Collings CL. Scintigraphic findings on examination of the multipartite patella. Clin Nucl Med 1994; 19(10): 865-866. Go to original source... Go to PubMed...
  18. Enomoto H, Nagosi N, Okada E, et al. Hemilaterally symptomatic bipartite patella associated with bone erosions arising from a gouty tophus: A case report. The Knee 2006; 13: 474-477. Go to original source... Go to PubMed...
  19. Saupe H. Primäre Krochenmark serelung der kniescheibe. Deutsche Z Chir 1943; 258: 386-392. Go to original source...
  20. Green WT Jr. Painful bipartite patella: a report of three cases. Clin Orthop Relat Res 1975; 110: 197-200. Go to original source...
  21. Grogan DP, Carey TP, Leffers D, et al. Avulsion fractures of the patella. J Pediat Orthop 1990; 10: 721-730. Go to original source... Go to PubMed...
  22. Iossifidis A, Brueton RN, Nunan TO. Bone-scintigraphy in painful bipartite patella. Eur J Nucl Med 1995; 22(10): 1212-1213. Go to original source... Go to PubMed...
  23. Gruber W. In Bildungsanomalie mit Bildungshemmung begrundete Bipartition beider Patellae eines jungen Subjectes. Arch F Pathol Anat 1883; 94: 358-361. Go to original source...
  24. Ireland ML, Chang JL. Acute fracture bipartite patella: case report and literature review. Med Sci Sports Exerc 1995; 27: 299-302. Go to original source...
  25. Ishikawa H, Sakurai A, Hirata S, et al. Painful bipartite patella in young athletes. The diagnostic value of skyline views taken in squatting position and the results of surgical excision. Clin Orthop Relat Res 1994; 305: 223-228. Go to original source...
  26. Oohashi Y, Koshino T. Bone scintigraphy in patients with bipartite patella. Knee Surg Sports Traumatol Arthrosc 2007; 15(11): 1395-1399. Go to original source... Go to PubMed...
  27. Kavanagh EC, Zoga A, Omar I, et al. MRI findings in bipartite patella. Skeletal Radiol 2007; 36(3): 209-214. Go to original source... Go to PubMed...
  28. Thomas AL, Wilson RH, Thompson TL. Quadriceps avulsion through a bipartite patella. Orthopaedics 2007; 30: 491-492. Go to original source... Go to PubMed...
  29. Ogden JA, McCarthy SM, Jork P. The painful bipartite patella. J Peditr Orthop 1982; 2: 263-269. Go to original source... Go to PubMed...
  30. Puddu G, Mariani P, Alzani R. Detachment of the accessory fragment in, ,patella partite". Ital J Orthop Traumatol 1978; 4: 197-203.
  31. Ogata K. Painful bipartite patella: a new approach to operative treatment. J Bone Joint Surg [Am] 1994; 76: 573-578. Go to original source... Go to PubMed...
  32. Ficat RP, et al. Disordes of the Patellofemoral Joint. Baltimore: Williams & Wilkins 1977.
  33. Gross MT, Foxworth JL. The role of foot orthoses as an intervention for patellofemoral pain. J Orthop Sports Phys Ther 2003; 33: 661. Go to original source... Go to PubMed...
  34. Havlas V, Trc T, et al. Arthroscopy in children. Acta Chir Orthop Traumatol Cech 2004; 71(3): 152-156. Go to PubMed...
  35. Rang M, Pring M, Wenger D. Rang´s children fractures, Philadelpia: Lippincott 2006.
  36. Staheli LT, Beaty J, et al. Practice of pediatric orthopaedics. Philadelphia: Lippincott 2001.




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