Objectives: The aim was seeking consensus to diagnostic procedures used in common clinical situations in non-traumatic knee pain, to reduce the variability of clinical practice and adapt technologies according to diagnostic and pathology in study, taking into account risks to human health. Methodology: We used the Delphi method to achieve consensus in a group of physicians on the appropriateness of diagnostic imaging tests. Were invited to 40 different clinical specialties (radiologists, rheumatologists, orthopedists, rehabilitation and primary care physicians) to participate in the study rated from 1 (not appropriate) to 9 (very appropriate) use of five technologies diagnostic imaging in six different clinical situations considered common in our context, for 3 consecutive rounds. Results: In knee pain conventional radiology, magnetic resonance imaging and ultrasound may be appropriate in the different described clinical situations. The tomography hasn’t been valued like appropriate in any of the proposed scenarios. Conclusions: Conventional radiology examination is appropriate in patients with clinical suspicion of osteoarthritis, magnetic resonance imaging in meniscal lesions and ultrasound in soft tissue in lesions of extraarticular structures.
knee pain; Diagnostic imaging
López-Aguilà S, Almazán C, Surís X, Larrosa M, Galimany J, Pueyo MJ. Dolor de genoll: utilització apropiada de les proves de diagnòstic per la imatge. Barcelona: Agència d’Informació, Avaluació i Qualitat en Salut; 2013.
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