Patella

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Bone: Patella
Knee diagram
Gray's subject #60 255
MeSH Patella

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Patella

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Overview

The patella or kneecap is a thick, triangular bone which articulates with the femur and covers and protects the front of the knee joint. It is the largest sesamoid bone in the human body. It is attached to the tendon of the quadriceps femoris muscle, which contracts to straighten the leg. The vastus intermedialis muscle is attached to the base of patella. The vastus lateralis and vastus medialis are attached to lateral and medial borders of patella respectively.

The patella is stabilised by the insertion of vastus medialis and the prominence of the anterior femoral condyles, which prevent lateral dislocation during flexion. The retinacular fibres of the patella also stabilise it during exercise.

The primary functional role of the patella is knee extension. The patella increases the leverage that the tendon can exert on the femur by increasing the angle at which it acts.

The patella ossifies between the ages 2-6 years. In some people it may be absent congenitally or hypoplastic. In 2% of the population there is a bipartite patella, which is usually asymptomatic.

Regarding non-human animals, the patella is fully developed only in placental mammals; marsupials have only rudimentary, non-ossified patellae.[1]

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References

  1. Herzmark MH (1938). "The Evolution of the Knee Joint". J Bone Joint Surg Am 20: 77-84. Retrieved on 2007-11-17.

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .