A bony prominence below the child's knee is slightly painful when pressed.

Nov 10, 2024 Source: Cainiu Health
Dr. Zhou Xiaofeng
Introduction
In most cases, a bony protrusion below a child's knee that is painful upon pressing may be related to factors such as muscle strain, fracture, patellar dislocation, knee arthritis, or sebaceous cysts. In daily life, it is important to maintain a reasonable schedule, avoid spicy and irritating foods such as Sichuan pepper, chili peppers, and garlic, and ensure adequate rest with minimal late-night activities.

The knee refers to the knee joint. In children, a bony prominence below the knee joint that is painful upon pressing may be associated with factors such as muscle injury, fracture, patellar dislocation, knee arthritis, or sebaceous cysts. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Specific analyses are as follows:

1. Muscle injury: High-intensity physical activity may lead to damage of muscle tissue, causing symptoms such as a painful bony prominence below the knee joint. Treatment under medical supervision may include medications such as indomethacin tablets, ibuprofen sustained-release capsules, or celecoxib capsules.

2. Fracture: If the child's knee area suffers an impact, a fracture may occur, leading to swelling, protrusion, or pain. Treatment may involve immobilization using a cast or splint, as directed by a physician.

3. Patellar dislocation: Improper force or movement may cause the patella (kneecap) to dislocate, resulting in the aforementioned symptoms along with redness, swelling, and pain. Reduction procedures should be performed under medical supervision.

4. Knee arthritis: Poor posture, excessive body weight, or similar factors may lead to soft tissue damage in the knee joint, triggering knee arthritis. Symptoms may include localized prominence and tenderness, possibly accompanied by swelling and muscle atrophy. Under medical guidance, medications such as ibuprofen tablets, diclofenac sodium sustained-release tablets, or etoricoxib tablets may be used for treatment.

5. Sebaceous cyst: Overactive sebaceous glands can lead to clogged hair follicles and the formation of sebaceous cysts. If secondary infection occurs, a painful lump may develop around the knee joint. Anti-infective treatment with mupirocin ointment, fusidic acid cream, or azithromycin capsules may be used as prescribed by a doctor.

In daily life, maintaining a regular sleep schedule, avoiding spicy and irritating foods such as pepper, chili, and garlic, getting adequate rest, and minimizing late-night activities can support recovery.

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