Dichotomous patella is a congenital malformation caused by the failure to close the two ossification centers during the development of the patella, which is usually asymptomatic and does not require special treatment. There are many such congenital malformations in the human skeleton, such as lumbar sacralization, sacral lumbarization, etc. Some congenital malformations have symptoms and require treatment. The dichotomous patella can also cause symptoms and may cause pain and discomfort, especially after strenuous exercise, trauma, or weather changes, causing pain and discomfort that can be relieved by rest, limiting activity, and using pain medication. If the dichotomous patella causes significant inconvenience, surgery is recommended at a sports injury clinic.