You may have a condition called bipartite patella. This is a failure of the kneecap to harden into bone during the early years of childhood. This happens in about two to six percent of children in the U.S.
Most of the time, a bipartite patella isn’t a problem. However, the cartilage has a limited ability to heal and it’s easily injured. Falling on the knee can cause a painful separation that doesn’t heal properly. With proper medical treatment, you should be able to return to sports.