Pediatric Case 9 History/Physical Exam
History and Physical Exam
The typical patient is an adolescent with insidious onset of anterior knee pain that gets progressively worse with continued activity. A rapid growth spurt or participation in repetitive sports are clues to the diagnosis. Many patients present with a limp and describe pain with kneeling, jumping, or running.
On physical exam, they will have a prominent tender tibial tuberosity. Pain is made worse with kneeling, squatting, or extending against resistance.