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osh is a 14-year-old basketball player who presents with anterior knee pain that has occurred intermittently over the past 3 months. The pain worsens with squatting and walking up or down stairs, and is better with rest. He denies fever, weight loss, joint redness, or skin rash. Physical examination reveals a Tanner 3 male in no acute distress with a tender, swollen tibial tuberosity in the affected knee. Pain can be reproduced with resisted active extension and passive hyperflexion of the knee. No effusion is present. Josh's presentation is most consistent with: Osgood-Schlatter disease. Prepatellar bursitis. Meniscal tear. Reactive arthritis. Osgood-Schlatter disease.
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