Ottawa knee rules: Difference between revisions

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X-ray is required only in pts who have acute injury w/ one or more of the following:
==Criteria:==
X-ray is only required in patients who have an acute injury with one or more of the following:
#Age >55
#Age >55
#TTP fibula head
#Isolated tenderness of the patella (no other bony tenderness).
#TTP patella
#Tenderness at the fibular head.
#Inability flex to >90 deg
#Inability flex to 90 degrees
#Inability to walk 4 steps immediately after the injury and in the ED
#Inability to walk 4 steps BOTH immediately after the injury and in the ED
 
==References==
#Bachmann LM, Haberzeth S, Steurer J, et al. The accuracy of the Ottawa knee rule to rule out knee fractures: a systematic review. Ann Intern Med. 2004 Jan 20;140(2):121-4.
#Bulloch B, Neto G, Plint A, et al. Validation of the Ottawa Knee Rule in children: a multicenter study. Ann Emerg Med. 2003 Jul;42(1):48-55.
 
#Stiell IG, Greenberg GH, Wells GA, et al. Derivation of a decision rule for the use of radiography in acute knee injuries. Ann Emerg Med. 1995 Oct;26(4):405-13.
 
#Stiell IG, Greenberg GH, Wells GA, et al. Prospective validation of a decision rule for the use of radiography in acute knee injuries. JAMA. 1996 Feb 28;275(8):611-5.
 
#Stiell IG, Wells GA, Hoag RH, et al. Implementation of the Ottawa Knee Rule for the use of radiography in acute knee injuries. JAMA. 1997 Dec 17;278(23):2075-9.
 
#Vijayasankar D, Boyle AA, Atkinson P. Can the Ottawa knee rule be applied to children? A systematic review and meta-analysis of observational studies. Emerg Med J. 2009 Apr;26(4):250-3.


==Source==
Stiell IG et al. Implementation of the Ottawa Knee Rule for the Use of Radiography in Acute Knee Injuries. Journal of the American Medical Association 1997; 278:2075-2079


==See Also==
==See Also==

Revision as of 06:51, 6 June 2014

Criteria:

X-ray is only required in patients who have an acute injury with one or more of the following:

  1. Age >55
  2. Isolated tenderness of the patella (no other bony tenderness).
  3. Tenderness at the fibular head.
  4. Inability flex to 90 degrees
  5. Inability to walk 4 steps BOTH immediately after the injury and in the ED

References

  1. Bachmann LM, Haberzeth S, Steurer J, et al. The accuracy of the Ottawa knee rule to rule out knee fractures: a systematic review. Ann Intern Med. 2004 Jan 20;140(2):121-4.
  2. Bulloch B, Neto G, Plint A, et al. Validation of the Ottawa Knee Rule in children: a multicenter study. Ann Emerg Med. 2003 Jul;42(1):48-55.
  1. Stiell IG, Greenberg GH, Wells GA, et al. Derivation of a decision rule for the use of radiography in acute knee injuries. Ann Emerg Med. 1995 Oct;26(4):405-13.
  1. Stiell IG, Greenberg GH, Wells GA, et al. Prospective validation of a decision rule for the use of radiography in acute knee injuries. JAMA. 1996 Feb 28;275(8):611-5.
  1. Stiell IG, Wells GA, Hoag RH, et al. Implementation of the Ottawa Knee Rule for the use of radiography in acute knee injuries. JAMA. 1997 Dec 17;278(23):2075-9.
  1. Vijayasankar D, Boyle AA, Atkinson P. Can the Ottawa knee rule be applied to children? A systematic review and meta-analysis of observational studies. Emerg Med J. 2009 Apr;26(4):250-3.


See Also

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