Patella has been rejected. Partite patellas occur almost exclusively in men. Tripartite and even multipartite patellas occur. The upper three-quarters of the patella articulates with the femur and is subdivided into a medial and a lateral facet by a vertical ledge which varies in shape. Four main types of articular surface can be distinguished: In the patella an ossification centre develops at the age of 3–6 years. The patella originates from two centres of ossification which unite when fully formed. The primary functional role of the patella is knee extension. The patella increases the leverage that the quadriceps tendon can exert
Development of the human body the 19th century, when it was 15 for girls and 16 for boys. This can be due to any number of factors, including improved nutrition resulting in rapid body growth, increased weight and fat deposition, or exposure to endocrine disruptors such as xenoestrogens, which can at times be due to food consumption or other environmental factors. Puberty which starts earlier than usual is known as precocious puberty, and puberty which starts later than usual is known as delayed puberty. Notable among the morphologic changes in size, shape, composition, and functioning of the pubertal body, is the development of secondary sex