Imaging Findings
* Normal x-ray findings do not exclude the disease, which is diagnosed clinically
* Radiographs have Limited role "Clinical diagnosis" and are usually obtained to exclude other causes of pain
* Conventional radiography
o Not helpful if tubercle has not calcified (usually around 9 [girls]-11 [boys] years of age)
o Best seen on lateral knee
o Irregular ossification or fragmentation of tibial tubercle..... Separated from remainder of tibial tubercle
o Soft tissue swelling
o Calcification in or thickening of the patellar tendon
Lateral radiograph of the knee demonstrating fragmentation of the tibial tubercle with overlying soft tissue swelling.
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