Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with bilateral anterior knee pain localized to the tibial tubercle. Symptoms are exacerbated by physical activity, jumping, and kneeling. No history of acute trauma. Pain is described as aching and intermittent, relieved by rest.
Clinical Examination Findings
Physical examination reveals bilateral prominence and tenderness to palpation over the tibial tubercle. No signs of joint effusion, ligamentous laxity, or meniscal pathology. Pain is elicited upon resisted knee extension. Range of motion is full but painful at terminal extension.
Treatment Protocol
Conservative management initiated: activity modification, avoidance of aggravating sports, ice application post-activity, and non-steroidal anti-inflammatory drugs (NSAIDs) as needed. Referral to physical therapy for quadriceps and hamstring stretching and strengthening exercises.