Review Question - QID 218548

A 14-year-old middle school female gymnast was referred by her pediatrician for treatment of new onset left knee pain. The patient states she fell during tumbling practice a week ago and it has been hurting ever since that time despite trying to practice through the discomfort. She is ligamentously stable on exam with some pain with terminal flexion. The patient’s radiographic imaging from the office is shown in Figure A noting a 1.2cm shorter left limb without any fractures. Upon discussion, the mother states she always knew her daughter had slightly offsetting limb lengths which may limit her ability to qualify for the young stars league. Which of the following is the next best step in management?