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The Ottawa knee rules are a set of rules used to help physicians determine whether an x-ray of the knee is needed. [1] They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following: Age 55 years or older; Tenderness at head of fibula; Isolated tenderness of patella
A joint space of between 1.5 and 4 mm is regarded as normal. [15] Ankle osteoarthritis. For the ankle, the Kellgren–Lawrence scale, as described for the hip, has been recommended. [16] The distances between the bones in the ankle are normally as follows: [17] Talus - medial malleolus: 1.70 ± 0.13 mm; Talus - tibial plafond: 2.04 ± 0.29 mm
That means the use of the above rules has a false negative result of 1% and a false positive result of 40%. [1] From a medical point of view, the false positive result is less important as if the patient is positive, they should receive an X-ray to assess for a possible fracture, which has a much higher specificity.
The Oxford Knee Score (OKS) is a Patient Reported Outcome questionnaire that was developed to specifically assess the patient's perspective of outcome following Total Knee Arthroplasty. The OKS has subsequently been validated for use in assessing other non-surgical therapies applied to those suffering from issues with the knee. [ 1 ]
The most common knee problems are: soft tissue inflammation, injury, or osteoarthritis. The mechanism of the knee injury can give a clue of the possible structures that can be injured. For example, applying valgus stress on the knee can cause medial collateral ligament rupture, meanwhile a varus force can cause lateral collateral ligament rupture
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The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
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