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The Ottawa knee rules are a set of rules used to help physicians determine whether an x-ray of the knee is needed. [1] They state that an X-ray is required only in patients who have an acute knee injury with one or more of the following: Age 55 years or older; Tenderness at head of fibula; Isolated tenderness of patella
International Knee Documentation Committee (IKDC) system [10] Grade Findings A No joint space narrowing, defined in this system as at least 4 mm joint space B At least 4 mm joint space, but small osteophytes, slight sclerosis, or femoral condyle flattening C 2–4 mm joint space D < 2 mm joint space
Fairbank's changes describe the radiological changes observed on an AP radiograph of the knee after meniscectomy. [ 1 ] Fairbank identified significant changes including squaring of the femoral condyles , peak eminences, ridging, and joint space narrowing.
The Impact of the Relaxivity Definition on the Quantitative Measurement of Glycosaminoglycans in Cartilage by MRI dGEMRIC Method; Delayed Gadolinium-enhanced MR Imaging of Articular Cartilage: Three-dimensional T1 Mapping with Variable Flip Angles and B1 Correction; Toward Imaging Biomarkers for Glycosaminoglycans
The Ottawa knee rules count even a limping step as a step. Pittsburgh counts only a complete heel/toe plant as a step. This key difference likely accounts for the difference in specificity. The use of the Pittsburgh knee rules reduces the use of knee radiographs by 52%. [3]
The negative aspects of the project included difficulties in billing and collection. [ 16 ] A 2001 paper examining three of the original four hospitals with comparable "micro-cost" data determined that "the cost reductions primarily came from nursing intensive care unit, routine nursing, pharmacy, and catheter lab."
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to generate pictures of the anatomy and the physiological processes inside the body. MRI scanners use strong magnetic fields , magnetic field gradients, and radio waves to form images of the organs in the body.