Perspectives on orthopaedics

A teenager with pain in one knee and a limp

Rodney Pattinson



A teenage boy presents with knee pain and a limp after a recent fall, describing intermittent pain in the knee for the last few months. How should he be investigated and what treatment does he need?

Article Extract

Case presentation

A 15-year-old boy presents with left knee pain and a limp one week after falling from his bicycle. For two months, he has had a sore left knee ‘on and off’ after football, and his mother has noticed that he has been limping from time to time. He has had some physiotherapy and chiropractic for the knee, and an x-ray that had shown changes consistent with Osgood–Schlatter’s disease (osteochondritis of the tuberosity of the tibia).