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Assessment (screening or diagnosis)
The Ottawa Knee Rules accurately identified fractures in children with knee injuries

https://doi.org/10.1136/ebn.7.1.24

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    Bulloch B, Neto G, Plint A, et al; Pediatric Emergency Researchers of Canada. Validation of the Ottawa Knee Rule in children: a multicenter study. Ann Emerg Med 2003;42:48–55.OpenUrlCrossRefPubMedWeb of Science

    Q In children presenting to the emergency department (ED) with a knee injury, how accurate are the Ottawa Knee Rules (OKR) in identifying knee fractures?

    METHODS

    Embedded ImageDesign:

    blinded comparison of the OKR with knee x rays.

    Embedded ImageSetting:

    5 urban academic paediatric EDs in Canada.

    Embedded ImagePatients:

    750 children aged 2–16 years (mean age 12 y, 59% boys) who presented to the ED with an acute injury to the knee sustained in the preceding 7 days and had evidence of bony injury to the knee on physical examination. Exclusion criteria: isolated injuries to the skin, altered level of consciousness, multiple distracting injuries, metabolic bone disease, underlying …

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    Footnotes

    • For correspondence: Dr B Bulloch, Department of Emergency Medicine, Children’s Hospital, Winnipeg, Manitoba, Canada. bbullochphoenixchildrens.com

    • Source of funding: Children’s Hospital Foundation of Manitoba, Inc.