A child who plays soccer is in the clinic reporting pain and swelling in both knees. A physical examination reveals swelling and focal tenderness at the tibial tuberosities, with pain worsening when asked to extend the knees against resistance. What is the treatment for this condition?

Question

Quizplus · Accepted Answer

The child is likely presenting with Osgood-Schlatter disease, which is inflammation of the tibial tuberosities where the patellar tendon attaches. Treatment typically includes rest and avoiding activities that cause pain, as well as applying ice packs to reduce swelling. Quadriceps-stretching exercises can be helpful in preventing further injury, but should not be started until the acute symptoms have resolved. Radiographic studies may be obtained to confirm the diagnosis or rule out other conditions, but are not necessary in all cases. Referral to a pediatric orthopedic specialist is typically not needed unless the symptoms are severe or do not improve with conservative management.

A Child Who Plays Soccer Is in the Clinic Reporting