Ottawa Knee Rules: Difference between revisions
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== Purpose<br> == | == Purpose<br> == | ||
To determine if radiographs are needed after knee trauma | |||
== Technique<br> == | == Technique<ref name="Flynn">Flynn T, Cleland J, Whitman J. Users Guide to Musculoskeletal Examination: Fundamentals for the Evidence Based Clinician: Evidence in Motion; 2008.</ref><br> == | ||
Radiographs should be ordered if one of the following is present | |||
*55 years | |||
*Isolated patellar tenderness without other bone tenderness | |||
*Tenderness of the fibular head | |||
*Inability to flex the knee > 90 degrees | |||
*Inability to bear weight immediately after injury and in the emergency department (4 steps) regardless of limping. | |||
== Evidence<ref name="Flynn" /> == | |||
Sensitivity= 1.0 -LR= 0 | |||
Specificity= .49-.56 +LR = 1.9-2.3 | |||
== Resources == | == Resources == | ||
Eur Radiol. 2002 May;12(5): 1218-20 Epub 2001 Nov 14. | |||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
<div class="researchbox"> | <div class="researchbox"> | ||
<rss> | <rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1-GbkCVmYw_52ZU04g_4GXSFKtr5KXDF4NWQ0YRQCLO0r-zEG1|charset=UTF-8|short|max=10</rss> | ||
</div> | </div> | ||
== References == | == References == | ||
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References will automatically be added here, see [[Adding References|adding references tutorial]]. | References will automatically be added here, see [[Adding References|adding references tutorial]]. | ||
<references /> | <references /> | ||
[[Category:Articles]] [[Category:Assessment]] [[Category:EIM Student Project 2]] [[Category:Extended Scope]] [[Category:Knee]][[Category:Musculoskeletal/Orthopaedics]] [[Category:Special Tests]] |
Revision as of 12:11, 21 December 2009
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Purpose
[edit | edit source]
To determine if radiographs are needed after knee trauma
Technique[1]
[edit | edit source]
Radiographs should be ordered if one of the following is present
- 55 years
- Isolated patellar tenderness without other bone tenderness
- Tenderness of the fibular head
- Inability to flex the knee > 90 degrees
- Inability to bear weight immediately after injury and in the emergency department (4 steps) regardless of limping.
Evidence[1][edit | edit source]
Sensitivity= 1.0 -LR= 0
Specificity= .49-.56 +LR = 1.9-2.3
Resources[edit | edit source]
Eur Radiol. 2002 May;12(5): 1218-20 Epub 2001 Nov 14.
Recent Related Research (from Pubmed)[edit | edit source]
Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1-GbkCVmYw_52ZU04g_4GXSFKtr5KXDF4NWQ0YRQCLO0r-zEG1|charset=UTF-8|short|max=10: Error parsing XML for RSS
References[edit | edit source]
References will automatically be added here, see adding references tutorial.