Template:Ottawa Ankle Calculator: Difference between revisions
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[[Category:Calculator templates]] | [[Category:Calculator templates]] | ||
</noinclude> | </noinclude>=== Ottawa Ankle Rules === | ||
<div class="calculator-container" data-calculator-refresh-on-load="true"> | |||
{| class="wikitable" style="width:100%; border-collapse:collapse;" | {| class="wikitable" style="width:100%; border-collapse:collapse;" | ||
|+ style="font-size:16px; font-weight:bold; padding:8px; background:#2c3e50; color:white;" | Ottawa Ankle Rule | |+ style="font-size:16px; font-weight:bold; padding:8px; background:#2c3e50; color:white;" | Ottawa Ankle Rule | ||
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|- | |- | ||
| Bone tenderness along distal 6 cm of '''posterior edge of tibia''' or tip of '''medial malleolus''' | | Bone tenderness along distal 6 cm of '''posterior edge of tibia''' or tip of '''medial malleolus''' | ||
| | | {{calculator|id=oa_medNo|type=radio|name=oa_med|default=1}} | ||
| | | {{calculator|id=oa_medYes|type=radio|name=oa_med}} | ||
|- | |- | ||
| Bone tenderness along distal 6 cm of '''posterior edge of fibula''' or tip of '''lateral malleolus''' | | Bone tenderness along distal 6 cm of '''posterior edge of fibula''' or tip of '''lateral malleolus''' | ||
| | | {{calculator|id=oa_latNo|type=radio|name=oa_lat|default=1}} | ||
| | | {{calculator|id=oa_latYes|type=radio|name=oa_lat}} | ||
|- | |- | ||
| '''Inability to bear weight''' both immediately and in the ED (4 steps) | | '''Inability to bear weight''' both immediately and in the ED (4 steps) | ||
| | | {{calculator|id=oa_wtNo|type=radio|name=oa_wt|default=1}} | ||
| | | {{calculator|id=oa_wtYes|type=radio|name=oa_wt}} | ||
|- | |- | ||
| '''Foot X-ray''' is required if there is pain in the ''midfoot zone'' AND any of the following: | | '''Foot X-ray''' is required if there is pain in the ''midfoot zone'' AND any of the following: | ||
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|- | |- | ||
| Bone tenderness at the '''base of the 5th metatarsal''' | | Bone tenderness at the '''base of the 5th metatarsal''' | ||
| | | {{calculator|id=oa_5mtNo|type=radio|name=oa_5mt|default=1}} | ||
| | | {{calculator|id=oa_5mtYes|type=radio|name=oa_5mt}} | ||
|- | |- | ||
| Bone tenderness at the '''navicular''' | | Bone tenderness at the '''navicular''' | ||
| | | {{calculator|id=oa_navNo|type=radio|name=oa_nav|default=1}} | ||
| | | {{calculator|id=oa_navYes|type=radio|name=oa_nav}} | ||
|- | |- | ||
| '''Inability to bear weight''' both immediately and in the ED (4 steps) | | '''Inability to bear weight''' both immediately and in the ED (4 steps) | ||
| | | {{calculator|id=oa_fwtNo|type=radio|name=oa_fwt|default=1}} | ||
| | | {{calculator|id=oa_fwtYes|type=radio|name=oa_fwt}} | ||
|- | |- | ||
! style="background:#2c3e50; color:white;" | Positive Criteria | ! style="background:#2c3e50; color:white;" | Positive Criteria | ||
! colspan="2" style="background:#2c3e50; color:white;" | | ! colspan="2" style="background:#2c3e50; color:white;" | {{calculator|id=oa_total|type=plain|formula=oa_medYes+oa_latYes+oa_wtYes+oa_5mtYes+oa_navYes+oa_fwtYes|style=min-width:3ch;display:inline-block}} / 6 | ||
|} | |} | ||
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|- | |- | ||
| style="background:#27ae60; color:white; text-align:center; width:20%; font-weight:bold;" | Score = 0 | | style="background:#27ae60; color:white; text-align:center; width:20%; font-weight:bold;" | Score = 0 | ||
| '''No X-ray needed''' — Sensitivity 96.4–99.6% for clinically significant fractures | | '''No X-ray needed''' — Sensitivity 96.4–99.6% for clinically significant fractures. | ||
|- | |- | ||
| style="background:#e74c3c; color:white; text-align:center; font-weight:bold;" | Score ≥ 1 | | style="background:#e74c3c; color:white; text-align:center; font-weight:bold;" | Score ≥ 1 | ||
| '''X-ray recommended''' — Ankle and/or foot x-ray indicated based on positive criteria location. | | '''X-ray recommended''' — Ankle and/or foot x-ray indicated based on positive criteria location. | ||
|} | |} | ||
</div | |||
{| class="wikitable" style="width:100%; margin-top:4px; font-size:90%;" | |||
! References | |||
|- | |||
| | |||
* Stiell IG et al. A study to develop clinical decision rules for radiography in acute ankle injuries. Ann Emerg Med. 1992;21:384-390. PMID 1554175. | |||
* Stiell IG et al. Decision rules for radiography in acute ankle injuries: refinement and prospective validation. JAMA. 1993;269:1127-1132. PMID 8433468. | |||
|} | |||
</div> | |||
Latest revision as of 15:52, 21 March 2026
Interactive Ottawa Ankle Rule calculator. Requires the calculator gadget.
Usage: {{Ottawa Ankle Calculator}}
Ottawa Ankle Rules
| Criteria | No (0) | Yes (+1) |
|---|---|---|
| Ankle X-ray is required if there is pain in the malleolar zone AND any of the following: | ||
| Bone tenderness along distal 6 cm of posterior edge of tibia or tip of medial malleolus | 1 | |
| Bone tenderness along distal 6 cm of posterior edge of fibula or tip of lateral malleolus | 1 | |
| Inability to bear weight both immediately and in the ED (4 steps) | 1 | |
| Foot X-ray is required if there is pain in the midfoot zone AND any of the following: | ||
| Bone tenderness at the base of the 5th metatarsal | 1 | |
| Bone tenderness at the navicular | ||
| Inability to bear weight both immediately and in the ED (4 steps) | 1 | |
| Positive Criteria | / 6 | |
| Interpretation | |
|---|---|
| Score = 0 | No X-ray needed — Sensitivity 96.4–99.6% for clinically significant fractures. |
| Score ≥ 1 | X-ray recommended — Ankle and/or foot x-ray indicated based on positive criteria location. |
| References |
|---|
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