Simultaneous Rupture of Patella Tendon with Tibial Tubercle Avulsion Fracture, An terior Cruciate Ligament Avulsion Fracture of the Tibial Spine in a Skeletally Mature Patient: A Case Report

Abstract

There have been only rare incidences of simultaneous rupture of the patella tendon and anterior cruciate ligament. We describe a patient that had the first reported case of a patella tendon rupture with a tibial tubercle avulsion fracture and an anterior cruciate ligament avulsion fracture of the tibial eminence. The patient was a 19-year-old skeletally mature collegiate athlete who sustained the above injuries after falling from his bicycle. The next day he was treated with an open reduction and internal fixation of both his tibial tubercle avulsion fracture and his tibial eminence avulsion fracture as well as a repair of his patella tendon. Over the course of his rehabilitation, the patient showed no complications and was pleased with his outcome at his 2 year visit. To our knowledge, this is the first time this specific pattern of injury has ever been reported.