New Appropriate Use Criteria Issued for Managing Carpal Tunnel Syndrome, Knee Osteoarthritis — Physician’s First Watch

Medical News |
December 13, 2016

New Appropriate Use Criteria Issued for Managing Carpal Tunnel Syndrome, Knee Osteoarthritis

By Amy Orciari Herman

Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD

The American Academy of Orthopaedic Surgeons (AAOS) has issued two new sets of appropriate use criteria — one for the management of carpal tunnel syndrome and another for the surgical management of knee osteoarthritis. Both are online tools available free of charge at the links below.

With the first, the clinician answers four questions to help determine whether a patient has carpal tunnel syndrome. Based on the results, various treatment strategies are offered and ranked according to their level of appropriateness. Some 135 diagnostic scenarios are covered.

Similarly, for knee osteoarthritis, the clinician answers eight questions about the patient, after which three surgical treatments — total knee arthroplasty, unicompartmental knee arthroplasty, and realignment osteotomy — are ranked for their appropriateness. Nearly 900 diagnostic scenarios are included.

These appropriate use criteria complement the group’s clinical practice guidelines on each condition.

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