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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
However, from a practical point of view, false positives that lead to negative X-ray tests were the very thing that the knee rules are trying to address. Nonetheless, the Pittsburgh knee rules offer fewer false positives than do the Ottawa knee rules , though the Ottawa knee rules are more commonly used. [ 2 ]
Fairbank's changes describe the radiological changes observed on an AP radiograph of the knee after meniscectomy. [ 1 ] Fairbank identified significant changes including squaring of the femoral condyles , peak eminences, ridging, and joint space narrowing.
International Knee Documentation Committee (IKDC) system [10] Grade Findings A No joint space narrowing, defined in this system as at least 4 mm joint space B At least 4 mm joint space, but small osteophytes, slight sclerosis, or femoral condyle flattening C 2–4 mm joint space D < 2 mm joint space
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
Out: Diagnosis Report and Images created accordingly. Diagnosis Report is sent back to HIS via HL7 usually and Images are sent back to HIS via DICOM usually if there is a DICOM Viewer integrated with HIS in hospitals (In most of cases, Clinical Physician gets reminder of Diagnosis Report coming and then queries images from PACS Server).
DICOM is used worldwide to store, exchange, and transmit medical images.DICOM has been central to the development of modern radiological imaging: DICOM incorporates standards for imaging modalities such as radiography, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and radiation therapy.
To assess the knee, a clinician can perform the Patellar Aprehension Test by moving the patella back and forth while the people flexes the knee at approximately 30 degrees. [ 14 ] The people can do the patella tracking assessment by making a single leg squat and standing, or by lying on his or her back with knee extended from flexed position.