American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2018, 6(6), 114-116
DOI: 10.12691/ajmcr-6-6-4
Open AccessCase Report

Multipartite Patella: Diagnosis Trap

A. LAGDID1, , M. Boufettal1, RA. Bassir1, M. KHARMAZ1, MO Lamrani1, M. Ouadghiri1, A. El Bardouni1, M. MAHFOUD1 and M.S. BERRADA1

1Department of Orthopedic Surgery and Traumatology, Ibn Sina UHC, Mohamed V University, Rabat, Morocco

Pub. Date: July 21, 2018

Cite this paper:
A. LAGDID, M. Boufettal, RA. Bassir, M. KHARMAZ, MO Lamrani, M. Ouadghiri, A. El Bardouni, M. MAHFOUD and M.S. BERRADA. Multipartite Patella: Diagnosis Trap. American Journal of Medical Case Reports. 2018; 6(6):114-116. doi: 10.12691/ajmcr-6-6-4

Abstract

Our study reports a case of a multipartite patella that was initially diagnosed as a patellar fracture in a traumatic context but in view of the smooth, regular and dense appearance of the fracture traits, a comparative radiological evaluation of the other knee was necessary, which precluded the diagnosis of fracture in favor of a multipartite patella with knee sprain treated by immobilization and treatment anti-inflammatory with a good evolution, hence the interests of performing a comparative radiological assessment of the contralateral knee in front of any patellar fracture. The multipartite patella is recognized as a developmental anomaly of ossification. Most of them are asymptomatic and are discovered incidentally. The multipartite patella is sometimes misdiagnosed as a patellar fracture, because the x-ray images of both these conditions may appear very similar.

Keywords:
knee joint multipartite patella misdiagnosed patella fracture anomaly

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References:

[1]  Oohashi Y. Developmental anomaly of ossification type patella partita. Knee Surg Sports Traumatol Arthrosc 2015; 23(4): 1071-6.
 
[2]  Ogden JA. Radiology of postnatal skeletal development. X. Patella and tibial tuberosity. Skeletal Radiol 1984; 11(4): 246-57.
 
[3]  Okuno H, Sugita T, Kawamata T, Ohnuma M, Yamada N, Yoshizumi Y. Traumatic separation of a type I bipartite patella: a report of four knees. Clin Orthop 2004; 420(420): 257-60.
 
[4]  Ireland ML, Chang JL. Acute fracture bipartite patella: case report and literature review. Med Sci Sports Exerc 1995; 27(3): 299-302.
 
[5]  Bowerman JW. Radiology and injury in sport. New York: Appleton Century Crofts, 1977: 129.
 
[6]  Paul LW, Juhl P. The essentials of roentgen interpretation. 4th ed. New York: Harper and Row, 1976: 70.
 
[7]  James R Grilliot, BSC, BA, B App SC, DACBR*. Patellar anomaly - a case review of quadripartite patella.The Journal of the CCA/Volume 29 No. 3/September 1985.
 
[8]  Schultz RJ. The language of fractures. St. Louis: Dreiger Pub Co., 1983: 112.
 
[9]  Jingyuan Ma,1 Ph.D.; Fang Shi,1 M.D.; Chongya Huang,1 Ph.D.; and Shanzhi Gu,1 Ph.D. Forensic Identification of Bipartite Patella Misdiagnosed as Patella Fracture. J Forensic Sci, July 2017, Vol. 62, No. 4.
 
[10]  Oohashi Y, Noriki S, Koshino T, Fukuda M. Histopathological abnormalities in painful bipartite patellae in adolescents. Knee 2006; 13 (3): 189-93.
 
[11]  Atesok K, Doral MN, Lowe J, Finsterbush A. Symptomatic bipartite patella: treatment alternatives. J Am Acad Orthop Surg 2008; 16(8): 455-61.
 
[12]  Scapinelli R. Blood supply of the human patella. Its relation to ischaemic necrosis after fracture. J Bone Joint Surg Br 1967; 49(3): 563-70.
 
[13]  Rosenthal RK, Levine DB. Fragmentation of the distal pole of the patella in spastic cerebral palsy. J Bone Joint Surg Am 1977; 59(7): 934-9.