Ottawa ankle rules


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Related to Ottawa ankle rules: Ottawa Knee Rules
A set of guidelines to help doctors decide if a patient with foot or ankle pain should be X-rayed to rule out bone fracture. Rigorous application of the OARs have resulted in a 30% to 40% reduction in unnecessary X-rays, while retaining nearly 100% sensitivity

Ottawa ankle rules

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OAR

Practice guidelines developed in Canada in 1992 to reduce the number of unnecessary ankle x-rays in emergency departments. The inability to walk four steps or the presence of point tenderness over the posterior half of the lateral malleolus or the base of the fifth metatarsal warrant radiographic examination. See: modified Ottawa ankle rules

Ottawa ankle rules

An accurate clinical procedure for excluding the diagnosis of ankle and mid-foot fractures and reducing the number of unnecessary X-rays. Essentially, the rules are based on the presence or absence of bony tenderness and the ability or inability to bear weight. Analogous rules have been formulated for knee and head injuries.
References in periodicals archive ?
0% 22 of 71 injuries Table 2 Ottawa Ankle Rules (44,45,47,49) Ankle should be .
Nugent PJ (2004): Ottawa Ankle Rules accurately asses injuries and reduce reliance on radiographs.
Stiell I, Wells G et al (1995): Multicentre trial to introduce the Ottawa ankle rules for use of radiography in acute ankle injuries.
Stiell IG, McKnight RD et al (1994): Implementation of the Ottawa ankle rules.
Little research in family medicine discusses office use of the Ottawa Ankle Rules, but there is a need for a set of evidence-based protocols in evaluating acute ankle injuries.
0 found in virtually every study and estimated that the Ottawa Ankle Rules would decrease the need for films by 30% to 40%.
The Ottawa ankle rules appear to apply to family practice office settings as well as emergency departments.

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