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Sinding–Larsen–Johansson Disease

Traction apophysitis at inferior pole of patella in adolescents. Similar mechanism to Osgood–Schlatter but at patellar origin of tendon. Clinical: localized pain at inferior patellar pole; aggravated by jumping. X-ray: irregular calcification/fragmentation at inferior pole of patella. Management: activity modification, stretching, NSAIDs, resolves with maturity.