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What view best demonstrates Osgood Schlatter's disease?

  1. AP view of the knee

  2. Lateral view of the affected knee

  3. Oblique view of the knee

  4. Sunrise view of the knee

The correct answer is: Lateral view of the affected knee

The lateral view of the affected knee is the most appropriate imaging technique to best demonstrate Osgood Schlatter's disease. This condition typically presents with pain and swelling at the tibial tuberosity, which is where the patellar tendon attaches to the shinbone. In the lateral view, the projection allows for optimal visualization of the knee joint and the surrounding structures, particularly the anterior aspect of the tibial tuberosity. This positioning helps in identifying characteristic findings associated with Osgood Schlatter's disease, such as the prominence of the tuberosity, any ossification or fragmentation, and changes related to inflammation or irritation of the growth plate, known as the tibial tuberosity. While the AP view of the knee may provide some information about the overall joint space and alignment, it does not give the same clear perspective of the tibial tuberosity as the lateral view. The oblique knee view adds additional information regarding joint anatomy but is less focused on the tuberosity area. The sunrise view, although valuable for assessing the patella and its relationship to the femoral groove, does not effectively highlight the changes seen in the tibial tuberosity associated with Osgood Schlatter's disease.