Thank you all for your help, it really helped me and the patient.
Nobody thinks it’s a fracture.
Most of the answers where: epiphyseal cleft, edema form overtraining, stress reaction or traction. Osteochondrosis.
Once we had the MRI is much easier, but these boy is being in between the dilema of a surgery for a fracture, vrs a normal variant for 7 days, we couldn’t have the MRI before because he had COVID 🙁
I am so thankful to all of you.
Regards from Costa Rica,
OCD-consult.pptx 