Ağrılı Bipartite Patellaya Eşlik Eden Spina Bifida Occultanın Rehabilitasyon Sonuçları: İki Olgu Sunumu

Yıl 2018, Cilt: 3 Sayı: 1, 47 - 50, 31.01.2018

Senem Şaş , Fatmanur Aybala Koçak

Öz

Ağrılı Bipartite Patellaya Eşlik Eden Spina Bifida Occultanın Rehabilitasyon Sonuçları: İki Olgu Sunumu

Özet 

Bipartite patella (BP), patellanın aksesuar ossifikasyon merkezlerinin birleşim kusuruyla karakterize klinik bir durumdur. Ağrılı bipartite patella, ön diz ağrısı nedenlerinden olup, görülme sıklığı %0.2`dir. Erkeklerde daha sık görülürken, kadınlarda bilateral görülme sıklığı artmıştır. BP olgularının çoğu asemptomatiktir. Tanı direkt grafi, sintigrafi, manyetik rezonans görüntüleme, bilgisayarlı tomografi ile konulabilir. Radyolojisi patella fraktürüne benzemektedir. BP’nin tanısı ve tedavisi ile ilgili çeşitli olgu sunumları yapılmıştır. Bu yazıda BP’ye eşlik eden spina bifida occulta varyasyonlu iki olgunun rehabilitasyon sonuçları güncel literatür eşliğinde sunulmuştur.

Anahtar Kelimeler: Bipartite patella, anatomik varyasyon, spina bifida, ossifikasyon merkezi

 

Rehabilitation Outcomes of Painful Bipartite Patella Accompanying Spina Bifida Occulta: Two Case Reports

 

Abstract 

The bipartite patella (BP) is a clinical condition characterized by a defective fusion of the accessory ossification centers of the patella. Painful bipartite patella is one of the causes of anterior knee pain and the incidence is 0.2%. While it is more frequent in males, the incidence of bilateral involvement in women has increased. Most BP cases are asymptomatic. Diagnosis can be made by direct X-ray, scintigraphy, magnetic resonance imaging, computerized tomography. Radiology resembles patella fracture. Several case presentations have been made regarding the diagnosis and treatment of BP. In this article, rehabilitation outcomes of two cases with BP accompanying spina 

bifida occulta variation are presented in the light of current literature.

Keywords:Bipartite patella, anatomic variation, spina bifida, ossification center.

Anahtar Kelimeler

Bipartite patella, anatomik varyasyon, spina bifida, ossifikasyon merkezi

Kaynakça

• Abramowitz, Y., Wollstein, R., Barzilay, Y., London, E., Matan, Y., Shabat, S., & Nyska, M. (2003). Outcome of resection of a symptomatic os trigonum. The Journal of Bone & Joint Surgery 85(6), 1051-1057.
• Crane, T. P., & Spalding, T. J. (2009). The management of patella stress fractures and the symptomatic bipartite patella. Operative Techniques in Sports Medicine, 17(2), 100-105.
• Gorva, A. D., Siddique, I., & Mohan, R. (2006). An unusual case of bipartite patella fracture with quadriceps rupture. European Journal of Trauma, 32(4), 411-413.
• Gruber, W. (1883). In bildungsanomalie mit bildungshemmung begründete bipartition beider patellae eines jungen subjectes. Virchows Archiv, 94(2), 358-361.
• Ishikawa, H., Sakurai, A., Hirata, S., Ohno, O., Kita, K., Sato, T., & Kashiwagi, D. (1994). Painful Bipartite Patella in Young Athletes The Diagnostic Value of Skyline Views Taken in Squatting Position and the Results of Surgical Excision. Clinical Orthopaedics and Related Research, 305, 223-228.
• Kopp, F. J., & Marcus, R. E. (2004). Clinical outcome of surgical treatment of the symptomatic accessory navicular. Foot & Ankle International, 25(1), 27-30.
• Kumahashi, N., Uchio, Y., Iwasa, J., Kawasaki, K., Adachi, N., & Ochi, M. (2008). Bone union of painful bipartite patella after treatment with low-intensity pulsed ultrasound: report of two cases. The Knee, 15(1), 50-53.
• Kurtz, C. A., Humble, B. J., Rodosky, M. W., & Sekiya, J. K. (2006). Symptomatic os acromiale. Journal of the American Academy of Orthopaedic Surgeons, 14(1), 12-19.
• Ma, J., Shi, F., Huang, C., & Gu, S. (2017). Forensic Identification of Bipartite Patella Misdiagnosed as Patella Fracture. Journal of Forensic Sciences,62(4), 1089-1091.
• Marya, K. M., Yadav, V., Devagan, A., & Kundu, Z. S. (2003). Painful bilateral bipartite patellae--case report. Indian Journal of Medical Sciences, 57(2), 66-67.
• Oohashi, Y. (2015). Developmental anomaly of ossification type patella partita. Knee Surgery, Sports Traumatology, Arthroscopy, 23(4), 1071-1076.
• Oohashi, Y., Koshino, T., & Oohashi, Y. (2010). Clinical features and classification of bipartite or tripartite patella. Knee Surgery, Sports Traumatology, Arthroscopy, 18(11), 1465-1469.
• Özaras, N. (2015). Spina Bifida ve Rehabilitasyonu. Turkish Journal of Physical Medicine and Rehabilitation, 61, 65-9.
• Okuno, H., Sugita, T., Kawamata, T., Ohnuma, M., Yamada, N., & Yoshizumi, Y. (2004). Traumatic separation of a type I bipartite patella: a report of four knees. Clinical Orthopaedics and Related Research, 420, 257-260.
• Tonotsuka, H., & Yamamoto, Y. (2008). Separation of a bipartite patella combined with quadriceps tendon rupture: a case report. The Knee, 15(1), 64-67.
• Weckström, M., Parviainen, M., & Pihlajamäki, H. K. (2008). Excision of painful bipartite patella: good long-term outcome in young adults. Clinical Orthopaedics and Related Research, 466(11), 2848-2855.
• Weaver, J. K. (1977). Bipartite patellae as a cause of disability in the athlete. The American Journal of Sports Medicine, 5(4), 137-143.
• Wong, C. K. (2009). Bipartite patella in a young athlete. Journal of Orthopaedic & Sports Physical Therapy, 39(7), 560-560.
• Zabierek, S., Zabierek, J., Kwapisz, A., & Domzalski, M. E. (2016). Bipartite patella in 35-year-old fitness instructor: a case report. International Journal of Sports Physical Therapy, 11(5), 777.