Ottawa ankle rules
Revision as of 10:45, 4 September 2015 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page Ottawa Ankle Rules to Ottawa ankle rules)
Background
- Nearly 100% sensitive[1]
- 98.5% sensitive in the pediatric population[2]
- Can reduce ED utilization of xrays[3]
Criteria
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 6 cm of medial or lateral malleolus
- Inability to bear weight immediately after injury AND for at least four steps at the time of ED or doctor's office 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 immediately after injury AND for at least four steps at the time of ED or doctor's office evaluation
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
Diagram
External Links
See Also
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.