Abstract
Injuries around the knee are often high-energy injuries. The anatomy of the distal femoral physis contributes to its stability and hence high energy is required for disruption of this physis. As the distal femur contributes to the majority of the growth of the lower limb, injury to this growth plate has a high incidence of growth disturbance. Supracondylar femoral fractures can be difficult to reduce and fix due to the short metaphyseal segment. Patellar dislocations are commonly seen in adolescents. Patellar fractures are the result of direct or indirect trauma in children. These can be associated with osteochondral fragments and sleeve fractures often seen in children. Mechanisms of injury, associated anatomy and management options for distal femoral fractures, distal femoral physeal injuries and patella injuries are discussed in this article.
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