We report nine rare cases of painful bipartite patella following injur
y to the knee, in seven non-athletic adults. Patients suffered with pe
rsistent anterior knee pain and localized tenderness over the superola
teral aspect of the patella for an average of 2 years following injury
. The clinical, radiographic and arthroscopic findings are described.
Excision of the accessory bipartite fragment resulted in satisfactory
relief of pain and complete restoration of the knee function in all pa
tients at a mean follow-up of 10 months (range 3-36 months). Although
painful bipartite patella may be considered rare it should be recogniz
ed as a cause of post-traumatic anterior pain in the adult.