A 13 year old freshman complains of pain in his right knee. You note a raised area on the anterior, proximal tibia. Edema and pain are present at the same spot. You have him do a deep knee bend and note he has difficulty standing up. What is the problem?
Hi, This seems to be a case of patellar tendinitis, or infra patellar bursitis. It is an inflammatory degenerative condition. All you need to do is to prevent excessive knee flexion (bending) avoid squatting, heavy weights lifting with knee in flexion, excessive stair climbing. You need to do ice fomentation twice or thrice a day, and local physiotherapy in the form of ultrasound therapy should be good. Take care. Hope I have answered your question. Let me know if I can assist you further. 