Last reviewed:September 2019
Last updated:September  2019

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • pain at the tibial tubercle
  • localised tenderness

Other diagnostic factors

  • activity limitation
  • localised swelling
  • localised warmth
  • prominence of the tibial tubercle
  • pain at the tubercle with resisted knee extension

Risk factors

  • adolescent males
  • athletic participation
  • history OSD in the contralateral knee
  • high position of the patella (patella alta)
  • more proximal/broader tibial attachment of the patella tendon
  • increased external tibial torsion

Diagnostic investigations

Treatment algorithm

Contributors

Alexander Golant

Attending Physician

Department of Orthopaedics and Rehabilitation

New York-Presbyterian-Queens

Flushing

Assistant Professor of Clinical Orthopaedic Surgery

Weill Medical College of Cornell University

New York

NY

Disclosures

AG declares that he has no competing interests.

Chairman

Department of Orthopaedics and Rehabilitation

New York-Presbyterian-Queens

Flushing

Associate Professor of Clinical Orthopaedic Surgery

Weill Medical College of Cornell University

New York

NY

Disclosures

JR is an author of a reference cited in this topic.

Dr Jeffrey Rosen and Dr Alexander Golant would like to gratefully acknowledge the assistance of Jonathan Naysan. JN declares that he has no competing interests.

Peer reviewersVIEW ALL

Orthopedic Surgeon

Orthopedic and Neurosurgery Specialists PC

Greenwich

CT

Disclosures

PMS declares that he has no competing interests.

Consultant Orthopaedic Surgeon

Reader in Clinical Epidemiology and Surgery

UCL Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust

London

UK

Disclosures

AR declares that he has no competing interests.

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