What is it?
During growth, repeated traction at a tendon attachment can cause pain; this is different from an acute fracture.
Symptoms and important signs
Activity-related pain and tenderness over the bony prominence below the knee.
How is it assessed?
Usually history and examination; X-ray if the pattern is atypical or injury is suspected.
Care and treatment options
Adapt activity to pain and growth; use suitable strengthening and flexibility work.
When to seek help
Sudden inability to walk or severe pain after a jump requires assessment.