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Review Question - QID 3208

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QID 3208 (Type "3208" in App Search)
When performing a saline load test to evaluate for a traumatic arthrotomy of the knee, a minimum of how much saline should be utilized to obtain a 95% diagnostic accuracy?

30 mL

1%

46/3497

50 mL

5%

175/3497

75 mL

5%

191/3497

100 mL

9%

331/3497

155 mL

78%

2736/3497

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A saline load test is commonly utilized to evaluate for intraarticular penetration of superficial lacerations (traumatic arthrotomies). In this technique, a large gauge needle is used (18 ga) and saline is injected into the knee with passive ROM provided. Saline egress from the soft tissue injury is a positive test (traumatic arthrotomy present).

The study by Nord et al found that the volumes of saline that were needed in order to effectively diagnose 75%, 90%, 95%, and 99% of the knee arthrotomies were 110, 145, 155, and 175 mL, respectively.

The other referenced study by Keese et al found that 50 mL of saline successfully identified only 46% of known knee arthrotomies and that 194 mL was needed to reach a 95% identification rate.

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