The utility of plain radiographs in the initial evaluation of knee pain amongst sports medicine patients

Autor: Mehul R Shah, Laith M. Jazrawi, Omar Khatib, Eric J. Strauss, Joseph A. Bosco, Michael J. Alaia
Rok vydání: 2014
Předmět:
Zdroj: Knee Surgery, Sports Traumatology, Arthroscopy. 23:2213-2217
ISSN: 1433-7347
0942-2056
DOI: 10.1007/s00167-014-3003-8
Popis: To evaluate whether screening radiographs as part of the initial workup of knee pain impacts clinical decision-making in a sports medicine practice. A questionnaire was completed by the attending orthopaedic surgeon following the initial office visit for 499 consecutive patients presenting to the sports medicine centre with a chief complaint of knee pain. The questionnaire documented patient age, duration of symptoms, location of knee pain, associated mechanical symptoms, history of trauma within the past 2 weeks, positive findings on plain radiographs, whether magnetic resonance imaging was ordered, and whether plain radiographs impacted the management decisions for the patient. Patients were excluded if they had prior X-rays, history of malignancy, ongoing pregnancy, constitutional symptoms as well as those patients with prior knee surgery or intra-articular infections. Statistical analyses were then performed to determine which factors were more likely do correspond with diagnostic radiographs. Overall, initial screening radiographs did not change management in 72 % of the patients assessed in the office. The mean age of patients in whom radiographs did change management was 57.9 years compared to 37.1 years in those patients where plain radiograph did not change management (p
Databáze: OpenAIRE
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