- age 55 or over
- isolated tenderness of the patella (no bone tenderness of the knee other than the patella)
- tenderness at the head of the fibula
- inability to flex to 90 degrees
- inability to weight bear both immediately and in the casualty department (4 steps - unable to transfer weight twice onto each lower limb regardless of limping)
 
  
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Ottawa knee rule
A knee x-ray is only required for knee injury patients with any of these findings:
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