Journal article
ACR Appropriateness Criteria® Acute Trauma to the Knee
Journal of the American College of Radiology, Vol.9(2), pp.96-103
02/2012
DOI: 10.1016/j.jacr.2011.10.013
PMID: 22305695
Abstract
There are more than 1 million visits to the ER annually in the United States for acute knee trauma. Many of these are twisting injuries in young patients who can walk and bear weight, and emergent radiography is not required. Several clinical decision rules have been devised that can considerably reduce the number of radiographic studies ordered without missing a clinically significant fracture. Although fractures are seen on only 5% of emergency department knee radiographs, 86% of knee fractures result from blunt trauma. In patients with falls or twisting injuries who have focal tenderness, effusion, or inability to bear weight, radiography should be the first imaging study performed. If radiography shows no fracture, MRI is best for evaluating for a suspected meniscal or ligament tear or patellar dislocation. Patients with knee dislocation should undergo radiography and MRI, as well as fluoroscopic angiography, CT angiography, or MR angiography. The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
Details
- Title: Subtitle
- ACR Appropriateness Criteria® Acute Trauma to the Knee
- Creators
- Michael J Tuite - University of Wisconsin Hospital, Madison, WisconsinRichard H Daffner - Allegheny General Hospital, Pittsburgh, PennsylvaniaBarbara N Weissman - Brigham and Women's Hospital, Boston, MassachusettsLaura Bancroft - Florida Hospital, Orlando, FloridaD. Lee Bennett - University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IowaJudy S Blebea - Cleveland Clinic, Cleveland, OhioMichael A Bruno - Penn State Milton S. Hershey Medical Center, Hershey, PennsylvaniaIan Blair Fries - Bone, Spine and Hand Surgery, Chartered, Brick, New JerseyCurtis W Hayes - VCU Health System, Richmond, VirginiaMark J Kransdorf - Mayo Clinic, Jacksonville, FloridaJonathan S Luchs - Winthrop University Hospital, Mineola, New YorkWilliam B Morrison - Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaCatherine C Roberts - Mayo Clinic, Phoenix, ArizonaStephen C Scharf - Lenox Hill Hospital, New Rochelle, New YorkDavid W Stoller - California Pacific Medical Center, San Francisco, CaliforniaMihra S Taljanovic - University of Arizona Health Sciences Center, Tucson, ArizonaRobert J Ward - Tufts Medical Center, Boston, MassachusettsJames N Wise - University of Kentucky, Lexington, KentuckyAdam C Zoga - Thomas Jefferson University, Philadelphia, Pennsylvania
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.9(2), pp.96-103
- DOI
- 10.1016/j.jacr.2011.10.013
- PMID
- 22305695
- NLM abbreviation
- J Am Coll Radiol
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 02/2012
- Academic Unit
- Radiology
- Record Identifier
- 9983984526402771
Metrics
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