The patient is a 17-year-old male who presents to urgent care with anterior knee pain after a fall while mountain biking. However, he states that he’d been experiencing pain for an indeterminate period of time before the incident that preceded his visit.

View the image taken (Figure 1) and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.

Figure 1.

A 17-Year-Old Male with Knee Pain After a Fall