Presentation
Tripped and fell onto right knee. Pain.
Patient Data
The patella is high riding and there is infra-patellar soft tissue swelling suggesting patellar tendon rupture. Irregularity of the inferior pole of the patella is longstanding. No fracture identified.
Significant subcutaneous edema within the region of interest. There is complete absence of fibers in the mid section of the patella tendon 3.6cm from the distal insertion.
Case Discussion
Findings are consistent with patellar tendon rupture with was confirmed and repaired in theater.
Further history from the treating team (after the X-ray was performed) was of failure to straight leg raise.