Ottawa ankle rules: Difference between revisions
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== | ==Background== | ||
* | *Nearly 100% sensitive<ref>Bachmann LM, Kolb E, Koller MT, et al. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003; 326(7386):417.</ref> | ||
*98.5% sensitive in the pediatric population<ref>Dowling S, Spooner CH, Liang Y, et al. Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis. Acad Emerg Med. 2009; 16(4):277-87.</ref> | |||
*Can reduce ED utilization of x-rays<ref>Stiell, IG, et al. Implementation of the Ottawa Ankle Rules. JAMA. 1994; 271:827-832.</ref> | |||
== | ==Criteria== | ||
{{Ottawa Ankle Rules}} | |||
==Exceptions== | {{Ottawa Foot Rules}} | ||
# | |||
===Exceptions=== | |||
#Age <6 or >55 | |||
#Only for blunt trauma mechanism | #Only for blunt trauma mechanism | ||
#Does not apply to subacute/chronic injuries | #Does not apply to subacute/chronic injuries | ||
#Does not apply to injuries of the hindfoot or forefoot | #Does not apply to injuries of the hindfoot or forefoot | ||
== | ==External Links== | ||
[ | [http://www.mdcalc.com/ottawa-ankle-rules/ MDCalc - Ottawa Ankle Rules] | ||
==See Also== | ==See Also== | ||
*[[Ankle (Main)]] | *[[Ankle (Main)]] | ||
*[[Ankle Fracture]] | |||
*[[Foot Diagnoses]] | |||
*[[EBQ:Ottawa Ankle Rule Study|Ottawa Ankle Rule Study]] | |||
*[[Ottawa Knee Rules]] | |||
==Video== | |||
{{#widget:YouTube|id=UEnacnxh804}} | |||
== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Orthopedics]] |
Revision as of 22:04, 15 March 2017
Background
- Nearly 100% sensitive[1]
- 98.5% sensitive in the pediatric population[2]
- Can reduce ED utilization of x-rays[3]
Criteria
Ottawa ankle rule
Ankle x-ray needed if:
- Pain near the maleoli AND
- Inability to bear weight immediately and in the ED (4 steps) OR
- Tenderness at posterior edge or tip of lateral malleolus OR
- Tenderness at posterior edge or tip of medial malleolus
Ottawa foot rules
Foot x-ray series needed if:
- Pain in the midfoot AND
- Inability to bear weight both immediately and in the ED (4 steps) OR
- Tenderness at the navicular OR
- Tenderness at the base of the 5th metatarsal
Exceptions
- Age <6 or >55
- Only for blunt trauma mechanism
- Does not apply to subacute/chronic injuries
- Does not apply to injuries of the hindfoot or forefoot
External Links
See Also
Video
{{#widget:YouTube|id=UEnacnxh804}}
References
- ↑ Bachmann LM, Kolb E, Koller MT, et al. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003; 326(7386):417.
- ↑ Dowling S, Spooner CH, Liang Y, et al. Accuracy of Ottawa Ankle Rules to exclude fractures of the ankle and midfoot in children: a meta-analysis. Acad Emerg Med. 2009; 16(4):277-87.
- ↑ Stiell, IG, et al. Implementation of the Ottawa Ankle Rules. JAMA. 1994; 271:827-832.