case_images: PMC9870223_01
case_images: AP and lateral radiographs of the left knee in the Emergency Department.
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case_images: PMC9870223_01_jagrr-7-e22.00029-g002.jpg
case_images: F2
case_images: Knee radiographs revealed open physes, patella alta, and a 13 x 5 mm ossific fragment 13.5 mm distal to the patella (Figure 2).
case_images: 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).
case_images: jagrr-7-e22.00029-g003.jpg
case_images: PMC9870223_01_jagrr-7-e22.00029-g003.jpg
case_images: F3
case_images: 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).
case_images: 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.
case_images: jagrr-7-e22.00029-g004.jpg
case_images: PMC9870223_01_jagrr-7-e22.00029-g004.jpg
case_images: F4
case_images: FL) (Figure 4). Finally, the medial and lateral retinaculum was repaired with 0 Vicryl sutures.