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Sports medicine

A practical approach to apophysitis

Corey Cunningham, Ken Crichton

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Abstract

Apophysitis typically occurs between the ages of 12 and 15 years, especially during periods of rapid growth. With conservative management, the likelihood of a full recovery is excellent.

Article Extract

Case presentation

A 13-year-old soccer player presents with a four-week history of aching anterior right knee pain that lasts about 24 hours following training and matches. There is no history of direct trauma, but he has experienced a significant growth spurt during the last six months. Clinical examination reveals swelling and tenderness over the tibial tuberosity, absence of a knee joint effusion, stable knee ligaments and no patellofemoral irritability. X-ray shows a normal tibial tuberosity, with overlying soft tissue swelling.

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