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Musculoskeletal - Ottawa Ankle Rules

Ottawa Ankle Rule for the Use of X-Ray in Ankle Injury

Select Criteria:

X-Ray Indicated : 1 Required Criteria and 1 Major Criteria
 
Required Criteria
Pain near the malleous
Major Criteria
Inability to bear wieght right after the injury as well as in the emergency department (4 steps)
Bone tenderness at the posterior edge or tip of either malleolus
Results:
  1. Stiell IG, McKnight RD, Greenberg GH, et. al. Implementation of the Ottawa ankle rules. JAMA. 1994 Mar 16;271(11):827-832.
  2. Stiell IG, Greenberg GH, McKnight RD, et.al. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. . JAMA. 1993 Mar 3;269(9):1127-32.
  3. Stiell IG, Greenberg GH, McKnight RD, et. al. A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med. 1992 Apr;21(4):384-90.
  4. Stiell IG, McKnight RD, Greenberg GH, et. al. Interobserver agreement in the examination of acute ankle injury patients. Am J Emerg Med. 1992 Jan;10(1):14-17.
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