Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ Growth & Development + NOTE: See Pediatric Tab for height & weight charts. ++ Table Graphic Jump Location|Download (.pdf)|Print SBP (mm Hg) for Boys DBP (mm Hg) for Boys Percentile of Height Percentile of Height Age Yr BP % -tile 5th 50th 95th 5th 50th 95th 10 50th 95th 97 115 102 119 106 123 58 77 61 80 63 82 11 50th 95th 99 117 104 121 107 125 59 78 61 80 63 82 12 50th 95th 101 119 106 123 110 127 59 78 62 81 64 83 13 50th 95th 104 121 108 126 112 130 60 79 62 81 64 83 14 50th 95th 106 124 111 128 115 132 60 80 63 82 65 84 15 50th 95th 109 126 113 131 117 135 61 81 64 83 66 85 16 50th 95th 111 129 116 134 120 137 63 82 65 84 67 87 17 50th 95th 114 131 118 136 122 140 65 84 67 87 70 89 ++ Table Graphic Jump Location|Download (.pdf)|Print SBP (mm Hg) for Girls DBP (mm Hg) for Girls Percentile of Height Percentile of Height Age Yr BP % -tile 5th 50th 95th 5th 50th 95th 10 50th 95th 98 116 102 119 105 122 59 77 60 78 62 80 11 50th 95th 100 118 103 121 107 124 60 78 61 79 63 81 12 50th 95th 102 119 105 123 109 126 61 79 62 80 64 82 13 50th 95th 104 121 107 124 110 135 62 80 63 81 65 83 14 50th 95th 106 123 109 126 112 129 63 81 64 82 66 84 15 50th 95th 107 124 110 123 113 131 64 82 65 83 67 85 16 50th 95th 108 125 111 128 114 132 64 82 66 84 68 86 17 50th 95th 108 125 111 129 115 132 64 82 66 84 68 86 +++ Musculoskeletal Pathology ++ Table Graphic Jump Location|Download (.pdf)|Print Pathology Signs & Symptoms Osgood-Schlatter syndrome Occurs in 10–15 yo ♂ & 10–11 yo ♀ Intermittent aching pain at tibial tubercle & distal patellar tendon Enlarged tibial tuberosity Tight quads & hamstrings resulting in ↓ AROM Effusion results in knee extensor lag (+) Ely test (tight rectus femoris) (+) X-ray for avulsion of tibial tuberosity (lateral view) Need to r/o avascular necrosis Sinding-Larsen-Johansson syndrome Partial avulsion of inferior pole of patella in 10–15 yo ♂ Anterior knee pain & TTP at distal pole of the patella with knee extension Antalgic gait ↓ Knee ROM X-ray (lateral view) = fragmentation of inferior patella pole Slipped capital femoral epiphysis Note: occurs in boys 2x > girls; higher incidence in African American population; ↑ incidence with growth hormone deficiency Overweight adolescent Recent growth spurt Groin pain with WB Gradual onset of unilateral hip, thigh, & knee ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.