Teenager who hurt their knee playing basketball

Radiograph and CT of tibial tuberosity avulsion fracture
AP radiograph of the knee (left) shows a double density projecting over the lateral aspect of the proximal tibia. Lateral radiograph of the knee (middle) shows a moderate suprapatellar joint effusion and elevation of the tibial tubercle away from the tibia. Sagittal CT without contrast of the knee (right) shows a fracture line involving the tibial tubercle and extending superiorly into the tibial epiphysis.

The diagnosis was tibial tuberosity avulsion fracture resulting in a Salter Harris Type IV fracture.