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The Amsterdam Wrist Rules

A new guideline indicating in which patients with wrist trauma an X-ray is required.

Wrist trauma is one of the most common Emergency Department (ED) attendances and accounts for approximately 20% of all injuries. Only 39% of patients with wrist trauma have a fracture; however, most patients are routinely referred for radiography. This study had the  purpose of deriving and externally validating a clinical decision rule able of selecting patients with acute wrist trauma in the Emergency Department for radiography.

The Amsterdam Wrist Rules is a clinical prediction rule with a high sensitivity and negative predictive value for fractures of the wrist. The Amsterdam Wrist Rules can provide physicians in the Emergency Department with a useful screening tool to select patients with acute wrist trauma for radiography.

> From: Walenkamp, BMC Musculoskeletal Disorders 16 (2015-12-29 10:52:04) 389 . All rights reserved to The Author(s). Click here for the online summary.

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