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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
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The patient should be supine with the hips flexed to 45 degrees, the knees flexed to 90 degrees and the feet flat on table. The examiner positions himself by sitting on the examination table in front of the involved knee and grasping the tibia just below the joint line of the knee.
The Ottawa knee rules count even a limping step as a step. Pittsburgh counts only a complete heel/toe plant as a step. This key difference likely accounts for the difference in specificity. The use of the Pittsburgh knee rules reduces the use of knee radiographs by 52%. [3]
Medially rotates tibia on the femur if the femur is fixed (sitting down) or laterally rotates femur on the tibia if tibia is fixed (standing up), unlocks the knee to allow flexion (bending), helps to prevent the forward dislocation of the femur while crouching: Identifiers; Latin: musculus popliteus, poplit=ham (pit) of the knee: TA98: A04.7.02 ...
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The patellar network (circulatory anastomosis around the knee-joint, patellar anastomosis, genicular anastomosis, articular vascular network of knee [1] or rete articulare genus [2]) is an intricate network of blood vessels around and above the patella, and on the contiguous ends of the femur and tibia, forming a superficial and a deep plexus.