A patella fracture is a break in the kneecap bone. It usually occurs from a fall onto the kneecap or an eccentric contraction of the quadriceps muscle that pulls the kneecap too forcefully. Treatment depends on the type of fracture and ability to perform a straight leg raise test. Non-displaced fractures in patients able to do the straight leg raise can be treated with immobilization, while displaced fractures or inability to do the straight leg raise may require surgery to realign the fragments. Rehabilitation focuses on regaining motion while keeping the knee straight to allow initial healing.