A patella fracture can bring even the simplest daily tasks to a screeching halt. In this article, we’ll explain what a patellar fracture is, how serious it can be, what causes it, symptoms to watch for, diagnostic steps, treatment options, and the path to recovery.
At Orthopedic Specialists & Sports Medicine, serving patients in Granville and Coshocton, OH, our dedicated team provides expert care for all types of kneecap fractures, from simple patellar fractures to more complicated fractures. Contact us today to explore your options and begin the journey back to mobility.
A fracture of the patella is a break in the kneecap (patella). The fracture could be a displaced fracture, comminuted fracture, transverse fracture, or open fracture. Because the patella is integral to the knee joint, even a small bone injury can disrupt your ability to bear weight or extend your leg. The inability to do a straight leg raise is a hallmark sign of a patella fracture.
Patellar fractures range from stable fractures to highly complicated fractures with shattered bone pieces. A simple patellar fracture typically involves minimal displacement and doesn’t compromise the articular cartilage.
However, with most patellar fractures, the bone shatters, creating a comminuted fracture with fragments in the joint space, which becomes a serious injury requiring swift medical attention. Displaced ends of a fractured bone may impact the smooth joint surface, increasing the risk of arthritis. If the bone breaks so that the bone fragments stick out through the skin, there is an increased risk of infection.
Patellar fractures are often due to direct trauma, such as a fall onto the front of the knee or a blow during contact sports. It is also possible for the patella to be fractured indirectly, with a sudden contraction of the quadriceps muscle, causing the patellar tendon to pull sharply on the kneecap and break it.
Common signs of a patellar fracture include the following:
Orthopaedic surgeons evaluate the injury using:
Treating fractures of the patella depends on the type of fracture.
For a stable fracture where bone ends are closely aligned, a knee brace or cast may be used. This lets the fracture heal while the leg muscles and thigh muscles rest. During this time, gentle physical therapy can begin to strengthen supporting muscles.
When more complicated fractures occur, especially those involving a displaced fracture with fragments, surgical treatment may be needed. The surgical procedure involves the following:
Orthopaedic surgeons aim to restore the normally smooth joint surface and preserve the articular cartilage.
Recovery from patellar fractures can take several months. After initial immobilization, you’ll work on:
Your care plan will be tailored depending on your fracture type.
If you or a loved one in Granville or Coshocton suspects a patella fracture, don’t delay. Our skilled orthopaedic surgeons at Orthopedic Specialists & Sports Medicine are here to evaluate and treat everything from stable fractures to those needing surgical repair. Whether it’s a displaced fracture, comminuted fracture, or transverse fracture, we focus on restoring your knee joint function so you can return to normal life pain-free.
Contact us today to schedule an evaluation or learn more about our knee fracture care. Your recovery starts with a conversation—and we’re ready when you are.
Medically reviewed by Alex Tancevski, MD
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