The patella is the largest sesamoid bone which ossifies from one center in 77% and from two or three centers in 23% of children. Most of these ossification centers mutually fuse, but approximately 2% of them remain dissociated. Although bipartite patella is usually asymptomatic, it can become painful following overuse or injury.
Most patients with symptomatic bipartite patella respond well to conservative treatment (nonsteroidal anti-inflammatory drugs, bracing, and physiotherapy to strengthen the quadriceps and hamstring muscles).
Painful bipartite patella secondary to a gouty tophus was first reported by Hiroyuki Enomoto in 2006.
It is thought that pain is formed in two ways during symptomatic bipartite patella; which is pain that increases in stages based on activity or sudden pain following trauma.
Although the treatment type of symptomatic bipartite patella is chosen according to the anamnesis and clinic of the patient, most of the patients benefit from conservative treatment.
[14,15] For this reason, we treated our patient with a diagnosis of bipartite patella by KT and have observed that it is an effective treatment modality in reducing anterior knee pain in this patient.
Tophaceous gout in the bipartite patella with intraosseous and intra-articular lesions: a case report.
Magnetic resonance imaging features of asymptomatic bipartite patella. Eur.
Bipartite patella classification described by Saupe (1921).
Differential diagnosis with a bipartite patella is necessary.
Selesnick, "Bipartite patella fracture," Arthroscopy - Journal of Arthroscopic and Related Surgery, vol.
Yoshizumi, "Traumatic separation of a type I bipartite patella: a report of four knees," Clinical Orthopaedics and Related Research, no.