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Nous utilisons de fa�on courante depuis leur
parution, les r�gles d'ottawa pour les trauma de genou. Elle me paraissent plus
adapt�es, notament pour les trauma rotuliens. Je n'ai pas eu connaissance de
l�sion osseuse pass�e inaper�ue ( on ne se serait pas g�n� pour me le dire...).
L'�conomie est par contre �vidente tant en terme de temps que de
co�t.
Maurice RAPHAEL
Service d'accueil des urgences
C.H.I. Le
Raincy-Montfermeil 93370
----- Original Message -----
Sent: Monday, November 26, 2001 12:00
AM
Subject: URG-L: Pittsburgh Lions vs
Ottawa Bears
Utilisez-vous de fa�on syst�matique les r�gles d'Ottawa et / ou
celles de Pittsburg dans les traumas du genou et pourquoi l'une plut�t que
l'autre ? ou la "mieux-disante" pour un bless� donn� ?
rappel:
Ottawa knee rules
A knee radiograph is indicated only in patients with acute knee
injuries and one or more of the following five conditions:
1.Blunt knee trauma in a patient > 55 years old
2.Tenderness of the head of the fibula on palpation
3.Isolated tenderness of the patella
4.Inability to flex the
knee to 90 degrees
5.Inability to bear weight both immediately
and inability to take four steps in the ED Exclusion criteria
include:
1.Isolated skin injuries (i.e., superficial
abrasions/lacerations)
2.Referred patients from another ED or
clinic
3.Injury greater than 7 days old
4.Patient
returning for re-evaluation
5.Distracting injuries (multiple
trauma)
6.Altered mental status
7.Age < 18 years
old
8.Pregnant patients
9.Paraplegia
Pittsburgh decision rules
Blunt trauma or a fall as mechanism of injury plus either of the
following:
Age younger than 12 years or older than 50 years
Inability
to walk four weight-bearing steps in the emergency
department Exclusion criteria for the Pittsburgh Rules for Knee
Radiographs include
1.Injury >6 days old
2.Isolated skin
injuries (i.e., superficial abrasions/lacerations)
3.History of
knee fracture or surgery
4.Repeat visit for the same
injury --
Dr Axel Ellrodt
Essonne, France
http://zzorglub.ifrance.com/
Data, medical literature and links for emergency physicians.
Un site
pour urgentistes.
Un sitio web para m�dicos de urgencias
Lomana uebio
nan partonagjatri
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