Transient lateral patellar dislocation injury, with fractures of the anterolateral aspect of the lateral femoral condyle and osteochondral fractures of the medial patellar facet. No patellar alta or evidence of significant trochlear dysplasia. 

Patellar tendon insertion high signal and thickening is likely unrelated to the acute injury and is more likely secondary to chronic avulsion injury Osgood-Schlatter's disease.