Patella fractures account for approximately 1% of all fractures in children, which is similar to adults, although they are usually thought to be less common in children. In children, sleeve fractures comprise approximately half of the patella fractures. Diagnosis may be challenging both clinically and radiologically, unless there is a bony fragment. It is three-fold greater in men. Treatment often involves prompt reduction and usually internal fixation of the disrupted patella tendon. In this review article, fracture type and characteristic of patella fractures in children were reviewed. Basic treatment modalities and current approaches were also discussed.