Ottawa ankle rules
==Ankle[1] ==
- 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
Imaging
See Also
- Ankle (Main)
- Foot Diagnoses
- Blackham JEJ, Claridge T, Benger JR (2008). "Can patients apply the Ottawa ankle rules to themselves?". Emergency Medicine J 25 (11): 750–751 http://www.ncbi.nlm.nih.gov/pubmed/18955612
Source
- ↑ Bauer SJ et al. A clinical decision rule in the evaluation of acute knee injuries.J Emerg Med. 1995 Sep-Oct;13(5):611-5.