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Ottawa Knee Rule
Jul 8, 2013
•
Mark Morgan
categories:
Musculoskeletal & Rheumatology
Ottawa Knee Rule
Note: Does not apply to children.
false
TRUE
<-- Age 55 years or older.
false
TRUE
<-- Tenderness at the head of the fibula.
false
TRUE
<-- Isolated tenderness of the patella (no bone tenderness of knee other than patella).
false
TRUE
<-- Inability to flex knee to 90 degrees.
false
TRUE
<-- Inability to bear weight for four steps both immediately and in the examination room regardless of limping.
Result:
Interpretation
score=(age)+(fibula)+(patella)+(flex)+(walk); score>0?'X-ray required':'X-ray not necessary'
display/hide references
references:
#1
Ebell, MH. Am Fam Physician. 2005 Mar 15;71(6):1169-1172.
#2
Bachmann LM, Haberzeth S, Steurer J, ter Riet G. The accuracy of the Ottawa knee rule to rule out knee fractures: a systematic review. Ann Intern Med. 2004;140:121–4.
#3
Seaberg DC, Jackson R. Clinical decision rule for knee radiographs. Am J Emerg Med. 1994;12:541–3.
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