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adolescent apophysitis arthroscope barrel bone bump burr bursoscopic cap direct discomfort disease displaying excision growth hooded inflamation injection injury insertion joint knee kneecap left lesion male's muscles old orthopedic osgood ossicle pain patella patellar plate quadriceps raise raised schlatter schlatters semi sequestrectomy shinbone spurt squatting surgery tender tendon tibia tibial tight traction tubercle tuberosity xray year