Approach to common musculoskeletal injuries (pediatrics) Quiz: Ace Your Exams
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A 15-year-old girl presents to the pediatrician for evaluation of bilateral lower leg pain for the past two weeks. The patient recently started playing lacrosse and has been participating in practices or games six days per week. The pain worsens with running, tends to be more noticeable at the end of activity, and improves with rest. The patient is otherwise healthy and does not take any daily medication. Vital signs are within normal limits. Physical examination reveals diffuse tenderness at the distal medial tibial borders without point tenderness. There is no noticeable swelling or erythema. Dorsalis pedis pulses are 2+, capillary refill is <2 seconds, and lower extremity sensation is intact. The patient ambulates effectively with minimal pain. Which of the following is the most likely diagnosis?
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