Knee Injuries

 Clinical Examination indicates Knee X ray -  OTTAWA knee rules 

Sprain 

• No acute bony  injury on XR
• Patient walking
• Diagnosis ligament / knee sprain 
• Consider  physio referral -  Via EPR 
• Knee exercise leaflet  to  the patient / carer

• No  acute bony  injury  seen on XR , but  clinical suspision of significant ligamanet injury-  laxity  +/- effusion.
• Robert Jones Bandage 
• Crutches 
• weight bear  as tolerated 
• NPC Follow up 7 DAYS 
• Document OFTEN score in the notes and VTE  prophylaxis if indicated 

Patella dislocation 

• Hx Patella dislocation -  relocated 
• No lipo/heamarthrosis 
• Donut  brace and Crtuches if  required 
• Physio referral Via EPR 
• Document  OFTEN score in the notes and VTE  prophylaxis if indicated 

Fracture on X-Ray 

• Fracture tibial  plateau, femoral Condyle  or patella 
• Discuss with On Call Trauma Reg  Bleep  1222
• treat as advised 
• Document OFTEN score and VTE  prophylaxsis   if indicated