{"id":4073,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/knee\/"},"modified":"2026-01-07T17:27:05","modified_gmt":"2026-01-07T17:27:05","slug":"knee","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/","title":{"rendered":"Knee"},"content":{"rendered":"\n<p><strong>The soft tissue knee service focuses on non arthritic knee issues, ie patients without severe arthritic changes on XR requesting knee replacement.<\/strong><\/p>\n\n\n\n<p><strong>It is staffed by Orthopaedic Consultant Surgeons and Extended Scope Practitioners across four sites in Lothian.<\/strong><\/p>\n\n\n\n<p><strong>Patients are sourced from GP referrals which are triaged by the ESP team, A&amp;E referrals and virtual Trauma Triage Clinic.&nbsp; Referrals are triaged to urgent or routine and can offer advice to the referring practitioner.<\/strong><\/p>\n\n\n\n<p><strong>This Ref Help guide is divided into two sections \u2013 knee problems related to trauma and knee problems of spontaneous onset &#8211; and provides guidance on diagnosis, primary care management and referral to secondary care.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading has-alert-red-color has-text-color\"><span>Red Flag &#8211; No Trauma<\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneenohistoryoftrauma\/inflammatoryjointdiseaseknee\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span>Inflammatory Joint Disease<\/span><\/a><\/li>\n\n\n\n<li><a href=\"\/refhelp\/guidelines\/TumourKnee\" target=\"_blank\" rel=\"noreferrer noopener\"><span>Tumour (knee)<\/span><\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading has-alert-red-color has-text-color\"><span>Red Flag \u2013 Trauma<\/span><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"\/refhelp\/guidelines\/AcuteTraumaKnee\" target=\"_blank\" rel=\"noreferrer noopener\">Acute Trauma Knee<\/a><\/li>\n<\/ul>\n\n\n\n<p><strong>M.A. &amp; J. G. 23-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" data-type=\"URL\" data-id=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li>Scottish Intercollegiate Guidelines Network (SIGN&nbsp;<a href=\"https:\/\/www.guidelinesinpractice.co.uk\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.guidelinesinpractice.co.uk\/home\/<\/a>)<\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" data-type=\"URL\" data-id=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The soft tissue knee service focuses on non arthritic knee issues, ie patients without severe arthritic changes on XR requesting knee replacement. It is staffed by Orthopaedic Consultant Surgeons and Extended Scope Practitioners across four sites in Lothian. Patients are sourced from GP referrals which are triaged by the ESP team, A&amp;E referrals and virtual<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4220,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[399],"class_list":["post-4073","page","type-page","status-publish","hentry","category-knee"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/\" rel=\"tag\">Knee<\/a>","rttpg_excerpt":"The soft tissue knee service focuses on non arthritic knee issues, ie patients without severe arthritic changes on XR requesting knee replacement. It is staffed by Orthopaedic Consultant Surgeons and Extended Scope Practitioners across four sites in Lothian. Patients are sourced from GP referrals which are triaged by the ESP team, A&amp;E referrals and virtual","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4073","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4073"}],"version-history":[{"count":12,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4073\/revisions"}],"predecessor-version":[{"id":26122,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4073\/revisions\/26122"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4220"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4073"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4073"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}