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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#6 (reveal difficulty score)
A previously healthy 14-year-old boy is ...
Repeated microfracture at the tendon insertion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: msk

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submitted by โˆ—seagull(1933)
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Osgoodโ€“Schlatter disease (OSD)

Occurs with rapid growth of child. Tendon insertion commonly partially rips up some of the tibial tubercle. This is a microfracture more than failure to mineralize as the tendon fails to grow as fast as the bones - increasing tension on the insertion point.

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submitted by โˆ—step_prep5(246)
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  • Adolescent boy with knee pain exacerbated by jumping who has tenderness/swelling specifically over the tibial tubercle, most consistent with Osgood-Schlatter disease (patellar tendon pulls on tibial tubercle repeatedly, leading to inflammation and repeated microfractures)

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