Tripartite Patella: A Rare Case Report
Introduction: Multipartite patella is an incidental diagnosis, rarely symptomatic, and described scantily in the literature. Symptoms are secondary to direct injury or repetitive micro-trauma, resulting in the separation of fibro-cartilaginous joints across the multiple patellar components. Treatmen...
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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-04-01
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| Series: | Journal of Orthopaedic Case Reports |
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| Online Access: | https://jocr.co.in/wp/2025/04/01/tripartite-patella-a-rare-case-report/ |
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| author | V Ravi Kiran Udit K Jayant M L V Sai Krishna Sanjay Singh Rawat |
| author_facet | V Ravi Kiran Udit K Jayant M L V Sai Krishna Sanjay Singh Rawat |
| author_sort | V Ravi Kiran |
| collection | DOAJ |
| description | Introduction:
Multipartite patella is an incidental diagnosis, rarely symptomatic, and described scantily in the literature. Symptoms are secondary to direct injury or repetitive micro-trauma, resulting in the separation of fibro-cartilaginous joints across the multiple patellar components. Treatment is usually conservative, and occasionally, in resistant cases, surgery is advised.
Case Report:
We present a 50-year-old with a tripartite patella who presented after a history of falls and incidentally discovered a bipartite patella of the other knee. The symptoms of the tripartite patella were managed conservatively.
Conclusion:
Symptomatic multipartite patella should be distinguished from traumatic patella fracture. In old patients, a high index of suspicion is required to differentiate between a traumatic disruption of the multipartite patella with quadriceps avulsion and an avulsion fracture of the patella. Suppose there is a high index of suspicion. In that case, magnetic resonance imaging should be preferred to explain the signs and symptoms by noting bone marrow edema, partial or complete rupture of quadriceps, and quadriceps fat pad edema. We suggest that surgical decisions to either fix the fragment or excise be taken intraoperatively based on size, site, amount of articular surface, and associated tendon avulsion. |
| format | Article |
| id | doaj-art-81e78f326ff9447fbc07eb57be63577f |
| institution | OA Journals |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-81e78f326ff9447fbc07eb57be63577f2025-08-20T02:08:00ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-04-01154808310.13107/jocr.2025.v15.i04.5452Tripartite Patella: A Rare Case ReportV Ravi KiranUdit K JayantM L V Sai KrishnaSanjay Singh RawatIntroduction: Multipartite patella is an incidental diagnosis, rarely symptomatic, and described scantily in the literature. Symptoms are secondary to direct injury or repetitive micro-trauma, resulting in the separation of fibro-cartilaginous joints across the multiple patellar components. Treatment is usually conservative, and occasionally, in resistant cases, surgery is advised. Case Report: We present a 50-year-old with a tripartite patella who presented after a history of falls and incidentally discovered a bipartite patella of the other knee. The symptoms of the tripartite patella were managed conservatively. Conclusion: Symptomatic multipartite patella should be distinguished from traumatic patella fracture. In old patients, a high index of suspicion is required to differentiate between a traumatic disruption of the multipartite patella with quadriceps avulsion and an avulsion fracture of the patella. Suppose there is a high index of suspicion. In that case, magnetic resonance imaging should be preferred to explain the signs and symptoms by noting bone marrow edema, partial or complete rupture of quadriceps, and quadriceps fat pad edema. We suggest that surgical decisions to either fix the fragment or excise be taken intraoperatively based on size, site, amount of articular surface, and associated tendon avulsion.https://jocr.co.in/wp/2025/04/01/tripartite-patella-a-rare-case-report/kneetripartite patellabipartite patella |
| spellingShingle | V Ravi Kiran Udit K Jayant M L V Sai Krishna Sanjay Singh Rawat Tripartite Patella: A Rare Case Report Journal of Orthopaedic Case Reports knee tripartite patella bipartite patella |
| title | Tripartite Patella: A Rare Case Report |
| title_full | Tripartite Patella: A Rare Case Report |
| title_fullStr | Tripartite Patella: A Rare Case Report |
| title_full_unstemmed | Tripartite Patella: A Rare Case Report |
| title_short | Tripartite Patella: A Rare Case Report |
| title_sort | tripartite patella a rare case report |
| topic | knee tripartite patella bipartite patella |
| url | https://jocr.co.in/wp/2025/04/01/tripartite-patella-a-rare-case-report/ |
| work_keys_str_mv | AT vravikiran tripartitepatellaararecasereport AT uditkjayant tripartitepatellaararecasereport AT mlvsaikrishna tripartitepatellaararecasereport AT sanjaysinghrawat tripartitepatellaararecasereport |