Children Are Not Mini Adults: Rethinking Sudden Anterior Knee Pain in the Skeletally Immature Athlete
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A 12-year-old soccer player lands in knee flexion from a jump and develops sudden left-sided anterior knee pain. He cannot continue playing, is reluctant to flex the knee, and describes giving way on weight-bearing. He cannot perform a straight leg raise (SLR) or adequately contract quadriceps because of pain and has an effusion. Plain radiographs in the emergency department are reported normal, and he is discharged without walking aids or follow-up.
He presented for physiotherapy assessment. A story like this…
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