Path
     Periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the tibial tubercle where the patellar tendon inserts.
     The traction is worsened by sports that involve repetitive running, jumping, or kneeling.
     Improves with rest.
     1/4 of affected individuals have bilateral disease.
Hx
     Adolescent male athlete (13-14 yo)
     Younger (10-11 yo) affected females
Sx
     Knee pain
PE
     Edema and tenderness over the tibial tubercle
     A firm mass can sometimes be felt due to heterotrophic bone formation
     Pain can be reproduced by extending the knee against resistance
     
Dx
     Radiographic findings are nonspecific and include anterior soft tissue swelling, lifting of the tubercle from the shaft, and irregularity or fragmentation of the tubercle.
Tx
     Activity restriction
     Stretching exercises
     NSAIDs

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.