case_images: PMC3170764_01
case_images: Clinical appearance of the knees on initial presentation.
case_images: AOP2011-428614.001.jpg
case_images: PMC3170764_01_AOP2011-428614.001.jpg
case_images: fig1
case_images: He attended hospital with bilateral knee pain with significant effusions, the left being larger clinically than the right (Figure 1).
case_images: (a) AP radiograph of the right knee. (b) Lateral radiograph of the right knee. (c) AP radiograph of the left knee. (d) Lateral radiograph of the left knee.
case_images: AOP2011-428614.002.jpg
case_images: PMC3170764_01_AOP2011-428614.002.jpg
case_images: fig2
case_images: Radiographs of the knees were suspicious of sleeve fractures (Figures 2(a)-2(d)) and an MRI of both knees was organised.
case_images: Sagittal T2 MRI of the right knee.
case_images: AOP2011-428614.003.jpg
case_images: PMC3170764_01_AOP2011-428614.003.jpg
case_images: fig3
case_images: The MRI clearly revealed the extent of the displaced sleeve fractures (Figure 3).
case_images: (a) Intra-operative image of the right knee. (b) Intra-operative image of the left knee.
case_images: AOP2011-428614.004.jpg
case_images: PMC3170764_01_AOP2011-428614.004.jpg
case_images: fig4
case_images: The construct was reinforced with a circlage wire, passing through the tibial tuberosity and above the superior pole of the patella, with the wire twisted so that it could be retrieved later through a small incision (Figures 4(a) and 4(b)).