Management of inferior patellar sleeve fracture by ORIF with ortho cord suture: A case report.

Abstract

Introduction: Patellar sleeve fracture is a rare fracture common in children between the age of 8 and 16 years but rare in adults. We report a case of 22 year old male with inferior patellar sleeve fracture following motorbike accident.

Case presentation: The case study presents a twenty-two year old boy who sustained inferior patellar Sleeve fractures following motor bike accident. The patient presented to ER with pain and swelling along with abrasion. Diagnostic workup, including blood test and imaging, confirmed the diagnosis, revealing elevated inflammatory markers and evidence of inferior patellar sleeve fracture on X-ray. The fracture was managed by Open reduction and internal fixation with ortho cord suture.

Discussion: Sleeve fractures of the patella in children usually occur in the inferior pole of the patella, very rarely in the superior pole. However, sleeve fractures of the patella mainly affect the superior pole in adults. The mechanism of sleeve fracture is a rapid contraction of the quadriceps on a flexed knee. Sleeve fractures usually occur in individuals involved in explosive acceleration activities such as jumping, although high-energy sports such as skateboarding are now also considered common causes Clinically, treatment options including conservative and surgical treatment depends on the severity of bone displacement and the extensor mechanism of the knee.

Conclusion: Inferior patellar sleeve fracture is rare in adults in comparison to the children. The fracture is confirmed through X-rays AP and Lateral view. Thus, diagnosed fracture is treated surgically via open reduction and internal fixation.