Graeme Smith won the toss and chose to field first hoping his much publicised pace attack would make early inroads into the struggling England batting lineup, which had not passed 400 in their first innings for over a year.
However, the South African bowlers were wayward on the first day of the match, and apart from a post-lunch burst where they captured three quick wickets, were unable to exert much authority.
AB de Villiers scored freely before being very well caught by James Anderson off the bowling of Monty Panesar, and Ashwell Prince compiled a determined century to give the South African innings some resemblance of respectability.
Both men would record a century, and the only wicket to fall in the day was Smith who top edged a pull shot from the new ball off James Anderson's bowling shortly after reaching his 100.
South Africa did declare this innings to call a halt to proceedings, with Michael Vaughan agreeing his side would not go out to chase the 47 run difference.
This decision provoked considerable reaction as many felt there were other bowlers who were better placed to come into the side – Chris Tremlett, Matthew Hoggard and Stephen Harmison all sprung to mind.
Pattinson, born in Grimsby and raised in Australia, had only bowled a handful of overs at first class level, and whilst he had shown promise, his elevation to the test arena was arguably too much too soon for him.
South Africa named an unchanged side, boosted by the confidence of the draw at Lords and content that their bowlers could deliver as anticipated second time around.
Graeme Smith enforced this belief by opting to field, and was rewarded as Morné Morkel and Dale Steyn in particular got stuck into England's batsmen.
Although Hashim Amla was dismissed by Pattinson for his maiden test wicket during the morning session, Ashwell Prince and AB de Villiers formed a strong partnership which would frustrate England for the rest of the day.
AB de Villiers passed the 3 figure mark on day 3, and went on to make a magnificent 174, and it required a brilliant catch by Andrew Flintoff at slip to eventually dismiss him.
James Anderson, batting as nightwatchman, kept Alastair Cook company for almost the entire morning session of day 4, compiling his highest score of 34.
Stuart Broad, batting at no 8 and with just the tail to support him, made another highly impressive innings of 67 (not out) which included some magnificent cover drives and pull shots.
Broad had arguably contributed more with the bat than the ball in the series so far, and even prompted Geoffrey Boycott to compare some of his strokeplay with that of Sir Garfield Sobers.