Tibial tuberosity avulsion fracture is a rare injury, and
bilateral occurrence is more uncommon. Periosteal sleeve
fracture is a unique fracture pattern which was first described
in the lower pole of patella in children. We are reporting a
rare case of bilateral tibial tuberosity sleeve fracture in a
teenage boy which occurred while sprinting. The patient
underwent open reduction, pull through suture fixation of the
bilateral tibial tuberosity and screw fixation of left tibial
tuberosity. Post-operative rehabilitation included gradual
increment of range of motion with hinged brace and
quadriceps muscle strengthening. Close follow-up was done
to monitor the progression of his recovery. At six months
follow-up, the patient recovered well. Both knees had full
range of motion with an intact extensor mechanism.