Purpose: The Pittsburgh Knee Rules were developed in order to determine the need for radiographs after acute knee injury secondary to the risk of fracture.
Stage of CPR Development: Validated.
Blunt trauma or a fall as mechanism of injury PLUS either of the following:
1. Age older than 50 years or Younger than 12 years
2. Inability to walk 4 weight-bearing steps in the emergency department
|Seaburg et al., 1994||1.00||0.79||100%|
|Bauer et al., 1995||1.00||N/A||100%|
|Seaburg et al., 1998||0.99||0.60||N/A|
|Simon et al., 2005||0.77||0.57-0.58||N/A|
|Cheung et al., 2013||0.86||0.51||98%|
1. Seaberg DC, et al. Clinical decision rule for knee radiographs. Am J Emerg Med. 1994; 12(5): 541-3.
2. Bauer SJ, et al. A clinical decision rule in the evaluation of acute knee injuries. J Emerg Med. 1995; 13(5): 611-5.
3. Seaberg DC, et al. Multicenter comparison of two clinical decision rules for the use of radiography in acute, high-risk knee injuries. J Emerg Med. 1995; 13(5): 611-5.
4. Simon LV, et al. The Pittsburgh Decision Rule: triage nurse versus physician utilization in the emergency department. The Journal of emergency medicine. 2006; 31(3): 247-250. doi:10.1016/j.jemermed.2005.12.020.
5. Cheung TC, et al. Diagnostic accuracy and reproducibility of the Ottawa Knee Rule vs the Pittsburgh Decision Rule. Am J Emerg Med. 2013; 31(4): 641-5.