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dc.contributor.authorMohamed, Abubakr
dc.contributor.authorBabikir, Elkhidir
dc.contributor.authorMustafa, Mohamed Kamal Elbashir
dc.date.accessioned2021-10-13T12:00:15Z
dc.date.available2021-10-13T12:00:15Z
dc.date.issued2020-06-24
dc.identifier.issn2168-8184
dc.identifier.pmid32724756
dc.identifier.doi10.7759/cureus.8812
dc.identifier.urihttp://hdl.handle.net/10147/630588
dc.description.abstractBackground Knee injuries are encountered commonly in the emergency departments (EDs) in Ireland. Validated clinical decision rules such as Ottawa knee rule (OKR) can be used in acute knee injury settings to reduce the number of unnecessary radiography. Clinical judgment can be used to distinguish between suspected fractures and non-fractures in many cases; however, radiography is still routinely requested. Objectives We evaluated the OKRs in a high-volume tertiary teaching hospital in Ireland to determine whether the rule could be safely used to decide whether patients with acute blunt knee trauma should undergo radiography. Methods This was an observational study conducted in the ED over a three-month period in a tertiary referral hospital. A total of 110 patients with acute knee injuries were examined using OKR. Inclusion criteria included patients with acute knee injuries due to blunt trauma or twisting injury and patients with lacerations or contusions. Open fractures and fractures due to penetrating injury were excluded from the study. Results Fractures were seen in 12 (13.2%) of the 110 patents who met the inclusion criteria. The OKR predicted all 12 fractures. Sensitivity was 100%, and specificity was 39%. Conclusions The OKR is highly sensitive for fracture in this setting and can be safely used to decide whether patients with acute blunt knee trauma should undergo radiography.en_US
dc.language.isoenen_US
dc.rightsCopyright © 2020, Mohamed et al.
dc.subjectknee injuriesen_US
dc.subjectottawa knee ruleen_US
dc.subjectEMERGENCY DEPARTMENTen_US
dc.subjectRADIOGRAPHYen_US
dc.titleOttawa Knee Rule: Investigating Use and Application in a Tertiary Teaching Hospital.en_US
dc.typeArticleen_US
dc.identifier.journalCureusen_US
dc.description.peer-reviewpeer-reviewen_US
dc.source.journaltitleCureus
dc.source.volume12
dc.source.issue6
dc.source.beginpagee8812
dc.source.endpage
refterms.dateFOA2021-10-13T12:00:16Z
dc.source.countryUnited States


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