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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]
The patella is found in many tetrapods, such as mice, cats, birds and dogs, but not in whales, or most reptiles. In humans, the patella is the largest sesamoid bone (i.e., embedded within a tendon or a muscle) in the body. Babies are born with a patella of soft cartilage which begins to ossify into bone at about four years of age.
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North Bristol NHS Trust is a National Health Service trust that provides community healthcare and hospital services to Bristol, South Gloucestershire, and North Somerset, England. The trust employs over 8,000 staff and delivers healthcare through several medical institutions, including Southmead Hospital , Cossham Hospital , and the Bristol ...
It was named by the Health Service Journal as one of the top hundred NHS trusts to work for in 2015. At that time, it had 1310 full-time equivalent staff and a sickness absence rate of 2.88%. 87% of staff recommend it as a place for treatment and 71% recommended it as a place to work.
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 ...
The patellar tendon is a strong, flat ligament, which originates on the apex of the patella distally and adjoining margins of the patella and the rough depression on its posterior surface; below, it inserts on the tuberosity of the tibia; its superficial fibers are continuous over the front of the patella with those of the tendon of the quadriceps femoris.