A 15-year-old male presents for right knee pain, worse after basketball practice. There is no night wakening. He limps after exercise. On exam, you notice a tender lump below the kneecap at the site of the tibial tubercle.

Order Instructions
Knee Pain
As a pediatric primary care provider, you must accurately assess and diagnose musculoskeletal conditions among children and adolescents.

A 15-year-old male presents for right knee pain, worse after basketball practice. There is no night wakening. He limps after exercise. On exam, you notice a tender lump below the kneecap at the site of the tibial tubercle.
WRITE an ESSAY discussing your findings, including assessment, diagnosis, and plan. 3 Professional Journal References.

Be sure to review the Learning Resources before completing this activity.
LEARNING RESOURCES
Required Readings
• Maaks, D. L. G., Starr, N. B., Brady, M. A., Gaylord, N. M., Driessnack, M., & Duderstadt, K. G. (2019). Burns’ pediatric primary care (7th ed.). Elsevier.
o Chapter 32, “Congenital and Inherited Disorders” (pp. 511–519)
o Chapter 43, “Musculoskeletal Disorders” (pp. 885–917)
• Marcdante, K. J., & Kliegman, R. M. (2019). Nelson essentials of pediatrics (8th ed.). Elsevier.
o Section 9, “Human Genetics and Dysmorphology” (pp. 169–190)
o Section 26, “Orthopedics” (pp. 739–768)
• Duncan, A. W., & Temples, H. S. (2021). Slipped capital femoral epiphysis: Early intervention and referralLinks to an external site.. Journal of Pediatric Health Care, 35(2), 242–250. https://doi.org/10.1016/j.pedhc.2020.08.007
• Hanish, A. E., Cohen, M. Z., & Starr, L. J. (2018). Autism spectrum disorder and genetic testing: Parental perceptions and decision-makingLinks to an external site.. Journal for Specialists in Pediatric Nursing, 23(2), 1–8. https://doi.org/10.1111/jspn.12211
• Krabak, B. J., Tenforde, A. S., Davis, I. S., Fredericson, M., Harrast, M. A., d’Hemecourt, P., Luke, A. C., & Roberts, W. O. (2019). Youth distance running: Strategies for training and injury reductionLinks to an external site.. Current Sports Medicine Reports, 18(2), 53–59. https://doi.org/10.1249/JSR.0000000000000564
• Melvin, K., Meyer, C., & Ryan, B. (2019). “We don’t know what we don’t know”: Providing information about communication to families of children with Down syndromeLinks to an external site.. Child: Care, Health and Development, 45(3), 423–432. https://doi.org/10.1111/cch.12658
• Michalitsis, J., Murphy, A. T., Rawicki, B., Haines, T. P., & Williams, C. (2019). Full length foot orthoses have an immediate treatment effect and modify gait of children with idiopathic toe walkingLinks to an external site.. Gait and Posture, 68, 227–231. https://doi.org/10.1016/j.gaitpost.2018.11.022
• Phillips, S. F., Butts, J. F., & Silvis, M. (2020). Low back pain in youth: Recognizing red flagsLinks to an external site.. Journal of Family Practice, 69(8), E1–E8. https://doi.org/10.12788/jfp.0076
• Savatt, J. M., & Myers, S. M. (2021). Genetic testing in neurodevelopmental disordersLinks to an external site.. Frontiers in Pediatrics, 9, 1–52. https://doi.org/10.3389/fped.2021.526779
Required Resources
• Mullin, G. (2018). Congenital disorders sourcebookLinks to an external site. (4th ed.). Omnigraphics.
o Chapter 1, “What Are Birth Defects: An Overview” (pp. 3–5)
Additional references
Osgood-Schlatter disease (tibial tuberosity avulsion)
AUTHORS:
Andrew J Kienstra, MD
Charles G Macias, MD, MPH
SECTION EDITORS:
William A Phillips, MD
Jonathan I Singer, MD
DEPUTY EDITOR:
Jonathan Grayzel, MD, FAAEM
Contributor Disclosures
All topics are updated as new evidence becomes available and our peer review process is complete.
Literature review current through: Jun 2023.
This topic last updated: Aug 18, 2022.

https://www.uptodate.com/contents/osgood-schlatter-disease-tibial-tuberosity-avulsion?search=tender%20lump%20below%20the%20kneecap%20at%20the%20site%20of%20the%20tibial%20tubercle&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4#H6

Approach to chronic knee pain or injury in children or skeletally immature adolescents
AUTHOR:
Albert C Hergenroeder, MD
SECTION EDITORS:
Joseph Chorley, MD
Richard G Bachur, MD
DEPUTY EDITOR:
Jonathan Grayzel, MD, FAAEM
Contributor Disclosures
All topics are updated as new evidence becomes available and our peer review process is complete.
Literature review current through: Jun 2023.
This topic last updated: May 16, 2023.
https://www.uptodate.com/contents/approach-to-chronic-knee-pain-or-injury-in-children-or-skeletally-immature-adolescents?search=knee%20pain%20in%20pediatrics&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#

Osgood-Schlatter Disease
Marcdante, Karen; Kliegman, Robert M.. Nelson Essentials of Pediatrics E-Book (p. 2334). Elsevier Health Sciences. Kindle Edition.

Osgood-Schlatter disease
Cabana, Michael. 5-Minute Pediatric Consult (p. 2665). Wolters Kluwer Health. Kindle Edition.

Patel, D. R., & Villalobos, A. (2017). Evaluation and management of knee pain in young athletes: overuse injuries of the knee. Translational pediatrics, 6(3), 190–198. https://doi.org/10.21037/tp.2017.04.05

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