Synonym: Adult onset tibial tubercle exostoses
- Pain over anterior surface of upper tibia
- Pain during running, jumping, squatting, kneeling and descending stairs
- Usually no history of trauma, anterior knee pain or Osgood-Schlatter disease
- Tenderness over hypertrophic tibial tubercle
- Quadriceps tightness (Ely’s test)
- AP, lateral and tangential patellofemoral joint views of knee
- Exostosis and fragmentation, with multiple ossicles of tibial tubercle
- Optimal loading
- Eccentric focused quadriceps strengthening and stretching
- NSAIDs as required
- Silicon knee pads
b. Surgical: May require excision (not reported till date)
Reference: Fraser JJ, Frantz EA. Mortarmen’s Knee: Adult-Onset Tibial Tubercle Exostoses in 2 Infantrymen. J Orthop Sports Phys Ther. 2018 Jun;48(6):510. doi: 10.2519/jospt.2018.8005. PMID: 29852835.
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