Evidence-based practice in the utilization of knee radiographs--a survey of all members of the British Orthopaedic Association.

International Orthopaedics
S BhatnagarM M Glasgow

Abstract

There has been a debate amongst orthopaedic surgeons about which plain radiographs are required in common knee conditions and this is a 5-year review assessing the influence of recent publications on the use of radiographs. A postal survey of all members of the British Orthopaedic Association was performed. The response rate was 60% (990/1,650). There was a broad agreement on the use of anteroposterior and lateral radiographs. The use of the posteroanterior (PA) weight-bearing radiograph has increased from 82 to 86%. The use of skyline view for suspected arthritis and after knee replacement has increased from 23 to 41%. There is still disparity amongst orthopaedic surgeons regarding the knee flexion angle for skyline and weight-bearing views. After review of the literature we recommend that a single skyline view in 30 degrees flexion is adequate and should be a standard investigation in knee disorders. We also stress the importance of weight-bearing PA radiograph in 30 degrees knee flexion for adequate assessment in all patients with suspected arthritis.

References

Sep 1, 1993·Annals of the Rheumatic Diseases·A C JonesM Doherty
Feb 1, 1996·Annals of the Rheumatic Diseases·F M CicuttiniT D Spector
Aug 27, 1999·The Journal of Bone and Joint Surgery. British Volume·A P DaviesM M Glasgow
Jul 3, 2004·Clinical Orthopaedics and Related Research·A P DaviesS T Donell

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Citations

May 17, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael J AlaiaEric J Strauss
Jan 2, 2015·Radiological Physics and Technology·Masayuki KoikeTatsumi Kaji
May 16, 2009·Journal of Anesthesia·Vanita Ahuja, Hemant Bhaga
May 15, 2012·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·D HowellUNKNOWN Cancer Journey Action Group of the Canadian Partnership Against Cancer (CPAC)
Sep 27, 2013·Revista Brasileira De Ortopedia·Rodrigo Pires E AlbuquerqueWaldeck Duarte Júnior

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