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Sleeve fracture of the patella with lateral slip of the retinaculum: a case report in an 11-year-old child

Majeed, Haroona; Datta, Praveenb; dos Remedios, Iana

Journal of Pediatric Orthopaedics B: September 2014 - Volume 23 - Issue 5 - p 422–425
doi: 10.1097/BPB.0000000000000070
Leg & Knee

Adolescents are susceptible to patellar sleeve fractures. We present an interesting case of a patellar sleeve fracture in an 11-year-old child with lateral slip of the retinacular sleeve. Clinical assessment was difficult; however, an MRI scan confirmed the diagnosis. Surgical repair was undertaken, and the retinacular sleeve was repaired along with repair of the patellar tendon. The patient recovered well after surgery and underwent physiotherapy. A patellar sleeve fracture should always be suspected in patients less than 16 years of age, particularly in those with indirect acute trauma to the knee. Prompt surgical repair is important to achieve full functional recovery.

Departments of aTrauma and Orthopaedics

bMusculoskeletal Radiology, University Hospital of North Staffordshire, Stoke-on-Trent, UK

Correspondence to Haroon Majeed, MBBS, MRCS, Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Newcastle Road, Stoke-on-Trent ST4 6QB, UK Tel: +44 1782 715444; e-mail:

© 2014 by Lippincott Williams & Wilkins, Inc.