Ottawa Knee Rules

Original Editor - Heather Paulis

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Purpose
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To determine if radiographs are needed after knee trauma

Technique[1]
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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]

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References[edit | edit source]

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  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.