PMC9870223_01
AP and lateral radiographs of the left knee in the Emergency Department.
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F2
Knee radiographs revealed open physes, patella alta, and a 13 x 5 mm ossific fragment 13.5 mm distal to the patella (Figure 2).
Surgical photographs demonstrating intact patellar tendon, tibial tubercle fragment (white star), patellar tendon sleeve avulsion (held by grasper), and anatomic location for tubercle fragment (blue star).
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F3
There was also disruption of the medial and lateral retinaculum and a small cortical avulsion fracture off the inferior patella without disruption of the cartilage or patellar tendon (Figure 3).
Fluoroscopy of the left knee in the operating room after reduction of the tibial tubercle and placement of a cannulated screw with a spiked washer. The approximate location of the suture anchors are marked with red arrows.
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F4
FL) (Figure 4). Finally, the medial and lateral retinaculum was repaired with 0 Vicryl sutures.