Transverse Patella Fracture: A Unique Case Study Clinical Vignette A thin 78-year-old male with a past medical history of T2DM, HTN, BPH, and renal cell carcinoma presents to clinic after a ground level fall to the...
Transverse Patella Fracture: A Unique Case Study Clinical Vignette A thin 78-year-old male with a past medical history of T2DM, HTN, BPH, and renal cell carcinoma presents to clinic after a ground level fall to the right knee. He reports a 7/10 pain overlying the patella. The following xray is obtained: Lateral radiograph showing transverse fracture of the patella.
Which of the following is a reassuring exam finding with this injury? A) Intact extensor mechanism B) Negative anterior drawer test C) Absent joint effusion D) Increased knee ROM A transverse patellar fracture occurs when the patella fractures into two parts in the transverse plane, dividing the bone into an upper and lower portion. Patellar fractures constitute about 1% of all skeletal fractures.
Roughly 50-80% are the transverse type that are likely to disrupt the extensor mechanism of the knee. It is commonly caused by direct trauma to the patella or a fall. 80% of patella fractures occur in the middle to lower third of the patella with up to two-thirds of them displace.
If you are experiencing symptoms that may be related to a case of a transverse patella fracture, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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