Insidious Knee Pain In An Adolescent

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Insidious Knee Pain In An Adolescent - Page #3

Lab Studies: None Other Studies: Radiograph obtained at urgent care 9/12: normal appearance of the growth plates Case Photo #1 Case Photo #2 Case Photo #3 MRI of the left knee without contrast: No ligamentous injury. There is bony edema at the medial femoral condyle without distinct fracture. There is a nondisplaced fracture with surrounding edema noted on the medial portion of the proximal tibia without involvement of the physis. Case Photo #4 Case Photo #5 Subsequent radiograph obtained 9/23: AP and lateral views of the left tibia fibula. Increase transverse linear opacity of the medial, proximal tibia with minimal periosteal reaction, most c/w stress reaction of the posterior medial tibia. Additional AP and lateral views of the left femur were obtained. Mild cortical irregularity of the medial side of the femoral metaphysis. Case Photo #6 Case Photo #7 Subsequent radiograph obtained 10/7: AP, lateral, tunnel, sunrise views of the left knee were obtained. Evidence of increased periosteal changes of the medial edge of the femoral injury and medial tibial injury. Evidence of progressive healing of the femoral and tibial stress fracture. Case Photo #8 Case Photo #9 Consultations: None Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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