Orthopedics Forum - bipartite patella treatment

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Q: bipartite patella treatment

asked by: mumsy on July 15th, 2008

New User

My son has bipartite patella in his left knee, which means that his
knee cap didn't fuse together as he was growing. He is a really
keen footballer and as such has been knocked directly on it over the years.
He is now 22 and in considerable pain, finds that he has to 'save' his left
leg a lot by overusing his right. Scans have revealed the condition and
the smaller fragment is about 20-25% of the total knee. Surgery is
possible to remove this section but we are really concerned about the
prognosis. Does anyone have experience of this and could offer advice
about the success rate and ability to get back to playing competitively?
Or are there any drugs like anti-inflammatories that would give him
at least temporary relief? Much appreciated

Replies(3)

gymhoc

replied on March 5th, 2009

New User

Bipartite patella

My son was diagnosed with bipartite patella in his rihgt knee last year and has just been diagnosed with the same in his left knee. He is also a very keen sports kid, hockey, racquetball and soccer are his favorites. He has lots of knee pain during and after most games and often can't complete the dry land training with his team. He is 11 years old and I am not sure of his prognosis? I would also like to know if anyone else could offer some advice on what will lie ahead for him and if there are any treatment options like braces that might help.
Thanks

crooky

replied on March 8th, 2009

New User

Bi-partite Patella

I'm 15 and Have had this for a year. A summer of physical therapy and 6 weeks with no physical activity proved to no avail. The pain is quite bad getting up from a chair, going up and down stairs, and of course durring running. I used to be the number 2 runner on the team, now I'm second to last. My parents are now considering surgery, and as I have read, after the operation, you are back to peak performance in just 4-7 weeks. It is over 95% effective. Oh well, go to therapy first as that will fix most cases.

Allesandro

replied on November 17th, 2009

New User

I am 29 and have had symptoms for over 10 years mostly stemming from playing soccer(football) and rugby all year round when I was a teenager and then teaching soccer as an adult. Over the last year it went from occasional swelling and discomfort with an inability to kneel to requiring opiates to be able to walk. I am awaiting surgery to hopefully correct the issue. I have been advised the rehab is hard on this surgery and it should be done if only necessary. However, no doctor I have seen has said that my case will get any better with time so I am faced with only one option.
If you can take care of it with therapy and other treatments before it gets really bad that would be in your son's benefit.

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