Sleeve Fracture of the Patella: A Case Report

Virinderpal Singh Chauhan,1 Michael Maru 2
Rift Valley Provincial General Hospital, Nakuru
PCEA Kikuyu Hospital, Nairobi
Correspondence to: Dr. Virinderpal Chauhan, PO Box 3273–20100 Nakuru, Kenya; Email:dr.chauhansingh@gmail.com

Summary
Sleeve fractures form an integral part of the patellar fractures seen in children, which in their own entity are rare injuries. Diagnosis is usually missed early due to lack of awareness, and X-ray features are tricky if one is not aware of or familiar with the anatomy of an immature patella. This propagates neglect and outcomes are undesirable for the patient. We present a case of a 12-year-old boy who presented to our facility with a sleeve fracture that was initially missed in the outpatient clinic. Open reduction and repair with non-absorbable sutures was done and the construct protected with a back slab. Early diagnosis and surgical management are critical to favorable outcomes in these injuries.
 
Key words: Patella, Sleeve fracture, Pediatrics Ann Afr Surg. 2019; 16(1):43–45
DOI:http://dx.doi.org/10.4314/aas.v16i1.11
Conflicts of Interest: None
Funding: None
© 2019 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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