Patella fracture-dislocation

Case contributed by Rodney Strahan
Diagnosis certain

Presentation

Presented a few days after lateral dislocation of the patella and self relocation, with locking symptoms.

Patient Data

Age: 20 years
Gender: Female
x-ray

Bone fragment lying medially within the joint. Irregular medial patella surface indicating the source of the fragment. Large joint effusion with the bone fragment projected between the patella and femur.

Case Discussion

Lateral dislocation of the patella has resulted in an osteochondral fragment being separated from the medial surface of the patella as it struck the lateral femoral condyle.

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