Question

Ben is an 11-year-old soccer player and presents in the clinic with 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 of this condition?

1) obtain radiographic studies to R/O fractures or ligament tears
2) refer to a pediatric orthopedic specialist to evaluate the need for surgery
3) apply ice packs to both knees and avoid activities that cause pain
4) begin quadriceps stretching exercises to prevent further injuries

Answer 1

For an 11-year-old soccer player with symptoms suggestive of Osgood-Schlatter disease, the recommended treatments include resting the area, applying ice packs, over-the-counter pain relievers, and engaging in light quadriceps stretching exercises to maintain muscle flexibility.

Step-by-step explanation:

Ben, an 11-year-old soccer player with pain and swelling at the tibial tuberosities and worsened pain during knee extension against resistance, is likely experiencing symptoms consistent with Osgood-Schlatter disease. This condition is associated with inflammation of the patellar ligament at the tibial tuberosity and is common in growing adolescents who are active in sports. The recommended treatment for this condition typically includes:

However, it's important to note that while rest and ice can help manage symptoms, a proper balance of rest and strengthening exercises is crucial to prevent reoccurrence. Care should be taken not to overstretch or strain the muscles and joints further. In some cases, additional interventions, such as physical therapy, might be advised for proper rehabilitation.