The patient was sent for a physical therapy evaluation and training for stretching and isometric strengthening including a home exercise program. Antiinflamatories were prescribed. A knee pad was recommended for sports and kneeling activities. Stretching before and after sports as well as application of ice was recommended. A follow up appointment at six weeks was made.
Diagnosis is based on clinical signs and symptoms.
These include pain, heat, tenderness and local swelling with prominence at the tibial tuberosity. Ossification of the tibial tubercle begins distally between 7-9 years of age and progresses proximally. The treatment is symptomatic with reduction of stress on the apophysis as the objective. Reduce activities which cause pain in the area of the tibial tubercle. Stretching with other physical therapy modalities.