Case Scenario 3: Robert is a 14-year-old undergoing a rapid growth spurt who complains of a tender mass over the anterior tubercle of one knee. He says the pain improves with rest and worsens with activities like squatting, kneeling, jumping, and climbing stairs.

• What does the evidence suggest about the etiology of his condition? • How should you manage this condition? • What type of anticipatory guidance should you share with Robert and his parents?

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