Ask and you shall receive I guess. I went to another doctor for a second opinion on my recent knee saga. I’ve been to this doctor before and didn’t particularly care for him. He had a way of looking through me and avoided answering my questions. But I was referred to him again and went anyway. He had me lie on the table as he probed around my knee. He said he felt something that wasn’t right so he looked at my MRI scans from about 5 years ago and noticed something odd. He had me do a new x-ray image that I’d never had before. It’s called a sunrise projection and it’s aimed at the patella looking for fractures. And there you have it. A nickel sized bone fragment that had been fractured and severed from my knee cap. He says that there is no way to tell how or when I broke the patella but it’s a start to answering the questions as to why am I always in pain. You’d be in pain too if you had a pointy piece of bone grinding between your joints. So the answer is now what?