Synchondrosis bither block: A new addition in the diagnosis of symptomatic bipartite patella

Abstract

Symptomatic bipartite patella is uncommon, and to ensure good outcome, patient selection is the key. Mostly assigning the pain origin to the nonfused fragment is easy though, in few cases, can be a serious dilemma, especially in the absence of direct tenderness over nonfused fragment. The decision of surgical intervention is solely made on the criteria of exclusion of other causes in the presence of persistent anterior knee pain. The literature focuses on different treatment techniques and outcomes with a rare attempt to add to the currently available supporting tests to affirmatively ascertain the cause-pain relation to the bipartite fragment. This article defines the synchondrosis block to assist the surgeon in isolating the source of pain to bipartite fragment in symptomatic knee.