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膝关节受伤是否需要拍摄X线片
Title: Knee Injuries are Radiographs Needed
题目:膝关节受伤是否需要拍摄X线片
Author 作者: Michael Bond
Many people know that the folks in Ottawa have come up with a rule to determine whether radiographs are needed in patients complaining of knee pain.
很多人都知道,在渥太华的同行们出炉了一个对膝关节疼痛的患者是否需要照X光片的建议。
The Ottawa Knee rules that that radiographs are only required for knee injuries with any of the following:
渥太华膝关节规则建议膝关节损伤病史并有下列任何一项的,需要拍X光片:
• Age 55 years or older 年龄55岁或以上
• isolated tenderness of patella 髌骨压痛
• tenderness at head of fibula 腓骨头压痛
• inability to flex to 90' 无法弯曲90度
• inability to bear weight both immediately and in the emergency department (4 steps)
受伤后及在急诊科无法承受重量(指走4步)
Well another group in Pittsburgh have their own set of rules that were recently shown to be more specific with equal sensitivity.
另外,另一组在匹兹堡最近发表了他们自己的规则, 并被证明更特异并具有相同的敏感性。
The Pittsburgh decision rules state that radiographs are only needed if
匹兹堡决策规则指出,只有在下列情况下才需要X光片
• There is a history of fall or blunt trauma AND ( Patient is < 12 or > 50 years old OR Patient is unable to walk for weight bearing steps in the ED. )
• 有跌倒或钝挫伤史并且(患者<12或>50岁或病人在急诊科无法负重行走)。
So consider using the Pittsburgh or Ottawa Knee rules the next time you have a patient with knee pain to determine if those radiographs are really needed.
所以在下一次看膝关节疼痛病人时,可考虑使用匹兹堡或渥太华膝关节规则,以确定是否真正需要拍那些X光片。
References 参考文献: