Evaluating acutely injured patients for internal derangement of the knee

作者: Michael Grover

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摘要: Although historical findings have some value in diagnosing internal derangement of the knee, a thorough physical examination can often rule out fracture and ligamentous meniscal injuries. The Ottawa Knee Rule help physicians determine which patients require radiography. Positive tests acute effusion suggest derangement. An abnormal McMurray or Thessaly test strongly suggests injury, whereas normal may injury. Absence evidence joint significantly decreases probability Magnetic resonance imaging should be reserved for ruling with suggestive findings.

参考文章(29)
Pesach Shvartzman, Howard B. Tandeter, Max A. Stevens, Acute knee injuries: use of decision rules for selective radiograph ordering. American Family Physician. ,vol. 60, pp. 2599- 2608 ,(1999)
WILLIAM T. HARDAKER, WILLIAM E. GARRETT, FRANK H. BASSETT, Evaluation of Acute Traumatic Hemarthrosis of The Knee Joint Southern Medical Journal. ,vol. 83, pp. 640- 644 ,(1990) , 10.1097/00007611-199006000-00011
Patricia Goodemote, Jacquelyn R. Morton, Matthew Hoyt, How accurate is an MRI at diagnosing injured knee ligaments Journal of Family Practice. ,vol. 59, pp. 118- 120 ,(2010)
Charles H. Brown, Mark E. Steiner, Anterior Cruciate Ligament Injuries Springer, New York, NY. pp. 193- 284 ,(1994) , 10.1007/978-1-4612-4310-6_15
David C Seaberg, Donald M Yealy, Thomas Lukens, Thomas Auble, Susan Mathias, Multicenter Comparison of Two Clinical Decision Rules for the Use of Radiography in Acute, High-Risk Knee Injuries Annals of Emergency Medicine. ,vol. 32, pp. 8- 13 ,(1998) , 10.1016/S0196-0644(98)70092-7
Daniel H. Solomon, David L. Simel, David W. Bates, Jeffrey N. Katz, Jonathan L. Schaffer, Does This Patient Have a Torn Meniscus or Ligament of the Knee? JAMA. ,vol. 286, pp. 1610- 1620 ,(2001) , 10.1001/JAMA.286.13.1610
Chung-Yuan Wang, Hsing-Kuo Wang, Chao-Yu Hsu, Jeng-Yi Shieh, Tyng-Guey Wang, Ching-Chuan Jiang, Role of Sonographic Examination in Traumatic Knee Internal Derangement Archives of Physical Medicine and Rehabilitation. ,vol. 88, pp. 984- 987 ,(2007) , 10.1016/J.APMR.2007.04.008
F. Rayan, Sachin Bhonsle, Divyang D. Shukla, Clinical, MRI, and arthroscopic correlation in meniscal and anterior cruciate ligament injuries International Orthopaedics. ,vol. 33, pp. 129- 132 ,(2009) , 10.1007/S00264-008-0520-4
David C. Seaberg, Richard Jackson, Clinical decision rule for knee radiographs American Journal of Emergency Medicine. ,vol. 12, pp. 541- 543 ,(1994) , 10.1016/0735-6757(94)90274-7
Bradley K Harrison, Brian E Abell, T Whitney Gibson, The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clinical Journal of Sport Medicine. ,vol. 19, pp. 9- 12 ,(2009) , 10.1097/JSM.0B013E31818F1689