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Paper| Volume 26, ISSUE 3, P175-176, April 1995

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Painful bipartite patella following injury

  • A. Iossifidis
    Correspondence
    Requests for reprints should be addressed to: Mr A. Iossifidis, md, frcs (ed), Apley Research Fellow, Academic Orthopaedic Unit, Rayne Institute, St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK.
    Affiliations
    Academic Unit, Department of Orthopaedic Surgery, St Thomas' Hospital, London, UK
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  • R.N. Brueton
    Affiliations
    Academic Unit, Department of Orthopaedic Surgery, St Thomas' Hospital, London, UK
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      Abstract

      We report nine rare cases of painful bipartile patella following injury to the knee, in seven non-athletic adults. Patients suffered with persistent anterior knee pain and localized tenderness over the superolateral aspect of the patella for an average of 2 years following injury. The clinical, radiographic and arthroscopic findings are described. Excision of the accessory bipartite fragment resulted in satisfactory relief of pain and complete restoration of the knee function in all patients at a mean follow-up of 10 months (range 3–36 months). Although painful bipartite patella may be considered rare it should be recognized as a cause of post-traumatic anterior pain in the adult.
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