Ottawa Knee Rules: Difference between revisions

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== Purpose<br>  ==
== Purpose<br>  ==


add the purpose of this assessment technique here<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>  ==


Describe how to carry out this assessment technique here
Radiographs should be ordered if one of the following is present


== Evidence  ==
*55 years
*Isolated patellar tenderness without other bone tenderness
*Tenderness of the fibular head
*Inability to flex the knee &gt; 90 degrees
*Inability to bear weight immediately after injury and in the emergency department (4 steps) regardless of limping.


Provide the evidence for this technique here
== Evidence<ref name="Flynn" />  ==
 
Sensitivity= 1.0 -LR= 0
 
Specificity= .49-.56 +LR = 1.9-2.3


== Resources  ==
== Resources  ==


add any relevant resources here
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])  ==
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<rss>Feed goes here!!|charset=UTF-8|short|max=10</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>  
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== 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 />  
 
PURPOSE: &nbsp;To determine if radiographs are needed after knee trauma
 
<br>
 
TECHNIQUE: <ref name="Flynn" />&nbsp;Radiographs should be ordered if one of the following is present
 
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Age &gt; 55 years
 
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Isolated patellar tenderness without other bone tenderness
 
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Tenderness of the fibular head
 
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Inability to flex the knee &gt; 90 degrees
 
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Inability to bear weight immediately after injury and in the emergency department (4 steps) regardless of &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; limping.
 
<br>
 
EVIDENCE<ref name="Flynn" />: &nbsp;
 
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Sensitivity= 1.0 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; -LR= 0&nbsp;
 
&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Specificity= .49-.56 &nbsp; &nbsp;+LR = 1.9-2.3
 
<br>
 
RESOURCES:
 
<br>
 
RESEARCH: Eur Radiol. 2002 May;12(5): 1218-20 Epub 2001 Nov 14.
 
<br>
 
REFERENCES


1. Flynn T, Cleland J, Whitman J. Users Guide to Musculoskeletal Examination: Fundamentals for the Evidence Based Clinician: Evidence in Motion; 2008.
[[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.

  1. 1.0 1.1 Flynn T, Cleland J, Whitman J. Users Guide to Musculoskeletal Examination: Fundamentals for the Evidence Based Clinician: Evidence in Motion; 2008.