The rule states that knee radiographs are indicated in these patients if at least one of the following criteria is satisfied: the patient is at least 55 years old, has an inability to bear weight immediately after trauma and in the ED for four steps (regardless of limp), has isolated patellar tenderness, fibular head
What are the nice guidelines for the Ottawa Knee Rule?
According to the Ottawa knee rule, knee X-ray is only required after a knee injury for people with any of these findings: Inability to weight bear both immediately and during the consultation for four steps (inability to transfer weight twice onto each lower limb regardless of limping).
What is the age limit for the Ottawa Knee Rule?
The rule assesses five criteria: age 55 years or older, tenderness of fibular head, isolated tenderness of patella, inability to flex to 90 degrees and inability to weight bear for 4 steps immediately after injury and in the emergency department (ED).
How to use Ottawa Knee Rules?
How to Perform the Examination Check for sensitivity of the proximal fibula. Check for sensitivity of the patella - only examine the patella, not the surrounding tissues. Determine if the patient is able to flex his/her knee to 90 - this will be measured with a goniometer as follows:
Thank you to the Robert Larner, MD College of Medicine at the University of Vermont for their willingness to serve as our host school for the 2020 conference.
The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs. Clin Rehabil. 2017;31(5):
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