Knee tumours--duration and nature of symptoms prior to investigation
Autor: | D B Finlay, F L Dickinson, W M Harper |
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Rok vydání: | 1997 |
Předmět: |
Adult
Male medicine.medical_specialty Lung Neoplasms Time Factors Adolescent Knee Joint Radiography Pain Bone Neoplasms Malignancy medicine Humans Radiology Nuclear Medicine and imaging Child Pathological Aged Retrospective Studies Aged 80 and over Histiocytoma Benign Fibrous business.industry Incidence (epidemiology) General Medicine Middle Aged medicine.disease Surgery Knee pain Effusion Radiological weapon Practice Guidelines as Topic Plain radiographs Female medicine.symptom business |
Zdroj: | The British journal of radiology. 70(834) |
ISSN: | 0007-1285 |
Popis: | The incidence of most musculoskeletal neoplasms is highest around the knee. Royal College of Radiologists Guidelines for diagnostic imaging state that plain radiographs are not routinely indicated for knee pain without restriction of movement or symptoms of locking. The notes of 19 patients with knee tumours presenting over a 5 year period were analysed. Irrespective of age or the grade of malignancy the majority of patients had symptoms for around 6 months prior to the initial radiograph. Only four patients had symptoms which would have merited radiological investigation under the present Guidelines. Even in these patients the symptoms prior to either pathological fracture or locking would not have come under the Guidelines. There is a case for regarding persistent, unilateral knee pain for longer than 6 weeks as an indication for imaging. |
Databáze: | OpenAIRE |
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