ACR Appropriateness Criteria® Acute Trauma to the Knee

被引：15

作者：

Taljanovic, Mihra S. ^{[1
]}

Chang, Eric Y. ^{[2
]}

Ha, Alice S. ^{[3
]}

Bartolotta, Roger J. ^{[4
]}

Bucknor, Matthew ^{[5
]}

Chen, Karen C. ^{[2
]}

Gorbachova, Tetyana ^{[6
]}

Khurana, Bharti ^{[7
]}

Klitzke, Alan K. ^{[8
]}

Lee, Kenneth S. ^{[9
]}

Mooar, Pekka A. ^{[10
,11
]}

Nguyen, Jie C. ^{[12
]}

Ross, Andrew B. ^{[13
]}

Shih, Richard D. ^{[14
,15
]}

Singer, Adam D. ^{[16
]}

Smith, Stacy E. ^{[7
,17
]}

Thomas, Jonelle M. ^{[18
]}

Yost, William J. ^{[19
,20
]}

Kransdorf, Mark J. ^{[21
]}

机构：

[1] Univ Arizona, Tucson, AZ USA

[2] VA San Diego Healthcare Syst, San Diego, CA USA

[3] Univ Washington, Seattle, WA 98195 USA

[4] Weill Cornell Med Coll, New York, NY USA

[5] Univ Calif San Francisco, San Francisco, CA 94143 USA

[6] Einstein Med Ctr, Philadelphia, PA USA

[7] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

[8] Roswell Park Comprehens Canc Ctr, Buffalo, NY USA

[9] Univ Wisconsin Hosp & Clin, Madison, WI 53792 USA

[10] Temple Univ Hosp & Med Sch, Philadelphia, PA 19140 USA

[11] Amer Acad Orthopaed Surg, Rosemont, IL USA

[12] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA

[13] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA

[14] Florida Atlantic Univ, Schmidt Coll Med, Boca Raton, FL 33431 USA

[15] Amer Coll Emergency Phys, Irving, TX USA

[16] Emory Univ, Sch Med, Atlanta, GA USA

[17] Harvard Med Sch, Boston, MA 02115 USA

[18] Penn State Milton S Hershey Med Ctr, Hershey, PA USA

[19] UnityPoint Hlth, Des Moines, IA USA

[20] Amer Coll Physicians, Philadelphia, PA USA

[21] Mayo Clin, Phoenix, AZ USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY | 2020年 / 17卷 / 05期

关键词：

Acute; Appropriateness Criteria; Appropriate Use Criteria; AUC; Dislocation; Fracture; Imaging; Knee; Trauma; ANTERIOR CRUCIATE LIGAMENT; BONE-MARROW LESIONS; SOFT-TISSUE INJURIES; ANTEROLATERAL LIGAMENT; DIAGNOSTIC-ACCURACY; COMPUTED-TOMOGRAPHY; DECISION RULE; 3.0-T MRI; CT; ULTRASONOGRAPHY;

D O I：

10.1016/j.jacr.2020.01.041

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Acute trauma to the knee is a common presentation seen in the emergency department. After a routine clinical examination, imaging is frequently performed to facilitate the diagnosis and almost always starts with radiographs. If clinically indicated, advanced cross-sectional imaging may then be performed for further evaluation. CT is often performed for preoperative planning of the complex tibial plateau and distal femur fractures. Currently, MRI is the study of choice for evaluation of bone marrow, internal derangements, and other soft-tissue injuries about the knee joint. In patients with knee dislocations, MR angiography may be performed simultaneously with MRI for evaluation of internal derangements and vascular injuries with less morbidity compared to conventional angiography. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

引用

页码：S12 / S25

页数：14

共 63 条

[1] Knee sonography as a diagnostic test for medial meniscal tears in young patients [J].