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A 13-year-old male patient presents with complaints of bilateral knee pain. He notes that the pain is increased with jumping, squatting or running up a flight of stairs. No other joints are affected. On physical exam, he has tenderness to palpation directly over his tibial tubercles. No effusion is noted. Radiographs are shown in Figures A and B. What is the most likely diagnosis?
Stress fractures of the tibial plateau
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HPI - A 33 year old male patient presents with a 4 year history of pain over the tibial tubercle of his right knee.
The patient works in construction as a general laborer and states that his pain has become much worse over the past few weeks.
What further imaging, if any, would you order on this patient?