Patella Fracture

Ossification

 

3 - 5 years old

 

Management

 

Undisplaced

- manage in plaster in extension

 

Displaced > 3 mm

- ORIF

 

Patella sleeve fracture

- usually small inferior fragment seen on xray

- patella high riding on xray / alta

- is actually large cartilaginous fragment avulsed with retinaculum

- can be osteochondral

- patient unable to SLR

- confirm on MRI

- requires ORIF