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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]
In anatomy, a sesamoid bone (/ ˈ s ɛ s əm ɔɪ d /) [1] [2] is a bone embedded within a tendon or a muscle. [3] Its name is derived from the Greek word for 'sesame seed', indicating the small size of most sesamoids. Often, these bones form in response to strain, [4] or can be present as a normal variant. The patella is the
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 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 ...
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The Royal National Hospital for Rheumatic Diseases is a small, specialist NHS hospital on the Royal United Hospital (RUH) site in the northwestern outskirts of Bath, England. The hospital was founded in 1738 as a general hospital for the poor in the city centre, where the frontage of its building still reads Royal Mineral Water Hospital .
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.