Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain and swelling at the left tibial tubercle, exacerbated by physical activity, jumping, or kneeling. Symptoms are consistent with traction apophysitis of the tibial tubercle. No history of acute trauma or fracture.
Clinical Examination Findings
Left knee examination reveals focal tenderness and prominence over the tibial tubercle. No joint effusion, ligamentous laxity, or meniscal signs. Full range of motion of the knee joint, though resisted knee extension reproduces pain at the insertion of the patellar tendon.
Treatment Protocol
Conservative management initiated: activity modification to avoid aggravating sports, ice application post-activity, and non-steroidal anti-inflammatory drugs (NSAIDs) as needed. Referral for physical therapy focusing on quadriceps and hamstring stretching and strengthening.