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A 12-year-old boy initially presents with a 4-month history of left knee pain.

Medical Council of Canada MCCQE Full Course Access
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A 12-year-old boy initially presents with a 4-month history of left knee pain. He denies any obvious history of trauma, but he plays basketball frequently and notes his pain is worse after playing. On physical examination the patient has a prominent tibial tubercle, which is swollen and tender. There is full range of motion in the knee. A radiograph of the left knee reveals an ossicle anterior to the tibial tuberosity. Which one of the following is the most likely diagnosis?

A.

Osteomyelitis

B.

Osteosarcoma

C.

Chondromalacia patellae

D.

Patellar tendinitis

E.

Osgood-Schlatter disease

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