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Bipartite patella is a condition where the patella, or kneecap, is composed of two separate bones. Instead of fusing together as normally occurs in early childhood, the bones of the patella remain separated. [1] The condition occurs in approximately 1–2% of the population [2] [3] and is no more likely to occur in males than females.
It typically results from a hard blow to the front of the knee or falling on the knee. [1] The patella can also be fractured indirectly. For example, a sudden contraction of the quadriceps muscle in the knee can pull apart the patella. [1] Diagnosis is based on symptoms and confirmed with X-rays. [3] In children an MRI may be required. [3]
Emarginations (i.e. patella emarginata, a "missing piece") are common laterally on the proximal edge. [1] Bipartite patellas are the result of an ossification of a second cartilaginous layer at the location of an emargination. Previously, bipartite patellas were explained as the failure of several ossification centres to fuse, but this idea has ...
North Bristol NHS Trust, located in South West England, is distinguished as a Centre of Excellence for Health Care in a number of medical disciplines, and is one of the largest hospital trusts in the UK. The Trust has earned national and international recognition for its advances in treatments and medical care. [2]
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This form of NHS trust is an important part of the United Kingdom government's programme to create a "patient-led" NHS with an internal market. The stated purpose is to devolve decision-making from a centralised NHS to local communities, in an effort to be more responsive to their needs and wishes.
A couple who swapped their jobs in the ambulance service for OnlyFans say they take “just as much pride” in taking saucy snaps as they did working for the NHS. Kayley Winterson, 26, and Emily ...
Prepatellar bursitis is an inflammation of the prepatellar bursa at the front of the knee. It is marked by swelling at the knee, which can be tender to the touch and which generally does not restrict the knee's range of motion.