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JAMA Clinical Challenge
April 21, 2015

An Adolescent With Right Shin Pain

Author Affiliations
  • 1University of Alabama at Birmingham School of Medicine
  • 2Division of Orthopaedic Surgery, Department of Surgery, University of Alabama at Birmingham School of Medicine
JAMA. 2015;313(15):1566-1567. doi:10.1001/jama.2014.17016

A 15-year-old obese girl presented to clinic with increasing right shin pain of 4 weeks’ duration. The pain began after the patient began to play competitive basketball and was localized to her mid shin. Dietary and menstrual histories revealed no abnormalities. Examination demonstrated focal tenderness along the distal mid shaft of the tibia anteriorly. The single-leg hop test elicited severe localized pain. Radiographs were obtained for further evaluation (Figure).

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