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My Son (13) Banged His Knee Running Up The Stairs.

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Posted on Thu, 23 Jul 2020
Question: My son (13) banged his knee running up the stairs. He limped for a couple of days and soon was able to do walking and running after a week. We began speed training and soccer workouts which were intense. After a training session 3 weeks ago he left to play basketball with friends. He came home in pain complaining his same knee he bumped hurt a lot after jumping for a shot. The pain is located an inch below the knee cap. A hard lump developed an the following day. He rested his knee for about a week then began biking and walking. Some discomfort was felt. After two weeks he was biking without pain and the bump turned to soft gel like feel instead of hard. It was less noticeable by sight. After the third week he tried some light soccer training at half speed with no discomfort until jumping over cones he mentioned that it felt weird, slight pain but only when jumping off the injured leg. What is your best guess for this injury. I considered Osgood-Schlatter or bursitis and maybe even an acute bruise contusion?? Any information you can provide would be greatly appreciated.
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Answered by Dr. Aashish Raghu (6 hours later)
Brief Answer:
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Detailed Answer:
Hi there

Thanks for the query

Does he feel his knee is wobbly or unstable especially on climbing downstairs?

According to the history of your son's injuries, It appears that there was some bleeding into the knee which has slowly resolved making it gel like in feeling.

However it is noted that when he does high impact activities he gets pain in his knee. In children who are active in sports and impact activities We suspect osteochondral injury.

It would be wise to get him examined by an orthopaedic doctor and if required an MRI scan may be needed to confirm the diagnosis.

I hope I have answered your query. I will be available to answer your follow-up queries.

Regards,

Aashish Raghu
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Aashish Raghu (15 hours later)
To answer your question, my son reports that it doesn’t feel wobbly walking down stairs. He mentioned it feels stronger now in comparison to when the impact first occurred on the stairs.

He indicates it only hurts while jumping. He also mentioned that he doesn’t appear to be able to flex his quadricep on the injured leg but when he try’s it doesn’t hurt.
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Answered by Dr. Aashish Raghu (22 hours later)
Brief Answer:
Answer

Detailed Answer:
Thank you for your reply.

I do suspect it could be an osteochondral injury which can only be ruled out by an MRI scan.

Do try to get an MRI scan if that is possible. If not he could be seen by an orthopaedic surgeon to rule out any ligamentous or cartilage meniscus injuries.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5431 Questions

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My Son (13) Banged His Knee Running Up The Stairs.

Brief Answer: Answer Detailed Answer: Hi there Thanks for the query Does he feel his knee is wobbly or unstable especially on climbing downstairs? According to the history of your son's injuries, It appears that there was some bleeding into the knee which has slowly resolved making it gel like in feeling. However it is noted that when he does high impact activities he gets pain in his knee. In children who are active in sports and impact activities We suspect osteochondral injury. It would be wise to get him examined by an orthopaedic doctor and if required an MRI scan may be needed to confirm the diagnosis. I hope I have answered your query. I will be available to answer your follow-up queries. Regards, Aashish Raghu