Pittsburgh Knee Rules: Difference between revisions
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Provide the evidence for this technique here | Provide the evidence for this technique here | ||
=== Diagnostic Accuracy === | |||
In a study by Hawley and Rosenblatt, of 934 patients evaluated the Pittsburgh knee rules applied to 745 with a sensitivity of 0.99 and a specificity of 0.60. There was the potential to reduce radiography by 52% with one missed fracture. | |||
== Resources == | == Resources == |
Revision as of 20:16, 25 April 2013
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Purpose
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A clinical decision rule used to indicate radiography of the knee.
Criteria
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Radiographs of the knee should performed if the mechanism of injury is a fall or blunt trauma and either one of the following:
1) Patient is younger than 12 or older than 50
2) Inability to walk four weight-bearing steps
These rules do not apply to individuals who present more than 6 days after injury, those with only superficial lacerations and abrasions, those with a previous history of knee injury or surgery on the affected knee, and those being reassessed for the same injury. [1]
Evidence[edit | edit source]
Provide the evidence for this technique here
Diagnostic Accuracy[edit | edit source]
In a study by Hawley and Rosenblatt, of 934 patients evaluated the Pittsburgh knee rules applied to 745 with a sensitivity of 0.99 and a specificity of 0.60. There was the potential to reduce radiography by 52% with one missed fracture.
Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Hawley C, Rosenblatt R. Ottowa and Pittsburgh rules for acute knee injuries. The Journal of Family Practice 1998;47(4):254-255. http://ovidsp.tx.ovid.com/sp-3.8.1a/ovidweb.cgi. (Accessed 25 Apr 2013).