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A 13-Year-Old Boy Is Brought to the Office Due to Right

Question 64

Multiple Choice

A 13-year-old boy is brought to the office due to right knee pain.  Several weeks ago, he developed mild anterior knee pain that has gradually worsened and now causes him to limp.  The pain has significantly limited his participation in basketball practice.  It is relieved by rest and can be reproduced when the patient straightens out his right knee while seated in a chair.  Further evaluation reveals an avulsion fracture affecting a developing secondary ossification center due to muscle overuse.  Which of the following structures is most likely involved in this patient's disease process?


A) Anterior intercondylar area
B) Anteromedial tibia shaft
C) Fibular head
D) Medial condyle of tibia
E) Tibial tubercle

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