OrthoQB

Evidence library

The trials, meta-analyses and guidelines that shape orthopaedic diagnosis and management, each summarised in one screen: what it asked, what it found, and how it changed practice. Every citation is checked against PubMed.

AllDiagnosisManagementPrognosisPrevention
All topicsShoulderElbowWristHandPeripheral nerveHip (young adult & sports)Hip arthroplastyKnee soft tissue & sportsKnee arthroplastyFoot & ankleSpineUpper limb traumaPelvis & acetabulumLower limb traumaMajor trauma & polytraumaFracture clinic & non-operative carePost-op care & complicationsOperative technique & equipmentInfectionPaediatricsTumoursRheumatology & metabolic boneBasic scienceResearch, statistics & guidelines
Clinical tests for ACL rupture meta-analysisThe Journal of orthopaedic and sports physical therapy 2006
Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis.
The Lachman test had the best overall sensitivity for ACL rupture, while the pivot shift test was highly specific and useful for ruling the diagnosis in. The anterior drawer test performed better in chronic than acute injuries.
Systematic review / meta-analysisDiagnosisKnee soft tissue & sports
Ottawa knee rule validationJAMA 1996
Prospective validation of a decision rule for the use of radiography in acute knee injuries.
The rule identified all clinically important fractures in the validation cohort (sensitivity of 100%) and would have reduced the need for knee radiographs substantially.
Cohort studyDiagnosisKnee soft tissue & sports