(Fig 4-B.06) Symptomatic Bipartite Patella

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📌 Symptomatic Bipartite or Multipartite Patella

✅ MRI Findings:
Edema in the bipartite fragment
Fluid signal at the synchondrosis, suggesting pseudarthrosis
Cystic subchondral marrow changes at the synchondrosis in chronic cases
Fluid signal may be seen between the fragment and the patella

✅ Cartilage Involvement:
Articular cartilage overlying the synchondrosis typically remains intact, even in advanced disease

✅ Treatment:
Surgical excision or lateral retinacular release for symptomatic bipartite patella

References:
Skeletal Radiol. 2018 Aug;47(8):1069-1086
Magn Reson Imaging Clin N Am 22 (2014) 601–620
RadioGraphics 2018; 38:2069–2101
Stoller's Orthopaedics and Sports Medicine: by Stoller MD FACR, David W. LWW, 2016

#bipartitepatella, #multipartitepatella, #anteriorkneepainsyndrome, #patellarsyndrome, #MRIfindings, #pseudarthrosis, #subchondralcyst, #articularcartilage, #surgicalexcision, #lateralretinacularrelease.
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