Ottawa ankle rules: Difference between revisions
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==Ankle== | ==Ankle== | ||
X-ray is only required if there is pain in the malleolar zone AND any of these findings: | *X-ray is only required if there is pain in the malleolar zone AND any of these findings: | ||
#Bony tenderness along the posterior edge or distal 6cm of either malleolus | #Bony tenderness along the posterior edge or distal 6cm of either malleolus | ||
#Inability to bear weight for at least two steps with each foot immediately after the injury AND at the time of evaluation | #Inability to bear weight for at least two steps with each foot immediately after the injury AND at the time of evaluation | ||
==Foot== | ==Foot== | ||
X-ray is only required if there is pain in midfoot zone AND any of these findings: | *X-ray is only required if there is pain in midfoot zone AND any of these findings: | ||
#Bony tenderness over the navicular bone | #Bony tenderness over the navicular bone | ||
#Bony tenderness over base of the 5th metatarsal | #Bony tenderness over base of the 5th metatarsal | ||
#Inability to bear weight for at least two steps with each foot immediately after the injury And at the time of evaluation | #Inability to bear weight for at least two steps with each foot immediately after the injury And at the time of evaluation | ||
==Exceptions== | ==Exceptions== | ||
#?age <18 or >55 | #?age <18 or >55 | ||
# | ##Study of 1500 patients age 1-15 showed a sensitivity of 98%^ | ||
# | #Only for blunt trauma mechanism | ||
# | #Does not apply to subacute/chronic injuries | ||
#Does not apply to injuries of the hindfoot or forefoot | |||
==See Also== | ==See Also== | ||
Revision as of 22:02, 13 February 2012
Ankle
- X-ray is only required if there is pain in the malleolar zone AND any of these findings:
- Bony tenderness along the posterior edge or distal 6cm of either malleolus
- Inability to bear weight for at least two steps with each foot immediately after the injury AND at the time of evaluation
Foot
- X-ray is only required if there is pain in midfoot zone AND any of these findings:
- Bony tenderness over the navicular bone
- Bony tenderness over base of the 5th metatarsal
- Inability to bear weight for at least two steps with each foot immediately after the injury And at the time of evaluation
Exceptions
- ?age <18 or >55
- Study of 1500 patients age 1-15 showed a sensitivity of 98%^
- Only for blunt trauma mechanism
- Does not apply to subacute/chronic injuries
- Does not apply to injuries of the hindfoot or forefoot
See Also
Source
^Journal of Acc/Emerg Med 1999;16:342-344