Patella Fractures

The patella is the largest sesamoid bone in the human body. The posterior aspect of the patella contains a thick cartilage layer, which is the thickest cartilage in the body. A vertical ridge separates the medial and lateral facets of the articular surface and articulates with the femoral trochlea. The patella protects the anterior aspect of the knee joint, serves as the insertion for the quadriceps tendon, and functions as a fulcrum to maximize the efficiency of the extensor mechanism. The inferior pole of the patella attaches to the patella tendon. The patellar retinaculum is formed by contributions from the fascia lata, vastus medialis, and vastus lateralis. The patella receives centripetal blood supply from the geniculate arteries, with the superior vessels lying anterior to the quadriceps tendon and the inferior vessels passing posterior to the patellar tendon. The most important blood supply to the patella penetrates the inferior pole along the fat pad below the patella.