Screening

Ottawa Knee Rules | Knee Fracture Assessment

Check our shop
Ottawa knee rules

Ottawa Knee Rules | Knee Fractures

The Ottawa knee rules are a tool used in the primary care setting to identify which cases of knee injury require radiographic imagery. Various studies have identified values of sensitivity ranging from 84.6 to 100% (see references below). The contents of the Ottawa knee rules are similar to those of the Ottawa ankle rules we have covered in another video

Execution:

According to the protocol X-Rays should be done if any of the following criteria apply:

  1. The patient is 55 or older
  2. Isolated pain or tenderness over the patella
  3. Pain or tenderness at the head of the fibula
  4. Knee flexion to at least 90 degrees
  5. The Patient is able to walk four consecutive steps immediately and in the emergency department. It doesn’t matter how the patient is walking.

21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE

Physiotutors Free Assessment E-book

Another common rule to screen for fractures in the knee joint is the Pittsburgh Decision Rule.

If you are curios about screening for ankle fractures, check out the following posts:

 

References

Yao, K., & Haque, T. (2012). The Ottawa knee rules: A useful clinical decision tool. Australian family physician41(4), 223-224.

Cheung, T. C., Tank, Y., Breederveld, R. S., Tuinebreijer, W. E., de Lange-de Klerk, E. S., & Derksen, R. J. (2013). Diagnostic accuracy and reproducibility of the Ottawa Knee Rule vs the Pittsburgh Decision Rule. The American Journal of Emergency Medicine31(4), 641-645.

Stiell, I. G., Greenberg, G. H., Wells, G. A., McKnight, R. D., Cwinn, A. A., Cacciotti, T., … & Smith, N. A. (1995). Derivation of a decision rule for the use of radiography in acute knee injuries. Annals of emergency medicine26(4), 405-413.

LIKE WHAT YOU’RE LEARNING?

BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK

  • 600+ Pages e-Book
  • Interactive Content (Direct Video Demonstration, PubMed articles)
  • Statistical Values for all Special Tests from the latest research
  • Clinical Value Recommendation
  • Detailed descriptions & searchable
  • Currently on Version 5.0 – Free lifetime updates
  • Available in 🇬🇧 🇩🇪 🇫🇷 🇪🇸 🇮🇹 🇵🇹 🇹🇷
  • And much more!
E-Book

ALL ORTHOPEDIC TESTS IN ONE PLACE

SEE ALL PRODUCTS
Assessment app banner
Assessment E-book
Reviews

What customers have to say about the Assessment E-Book

Wait before you go!LEARN TO TREAT THE MOST COMMON CAUSE OF VERTIGO

In this FREE video series by 
Vestibular Rehab Specialist
FIRAT KESGIN