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 ?
Implementation of the Ottawa ankle rules in a university sports medicine center.
Can patients apply the Ottawa ankle rules to themselves?
The Ottawa ankle rules are one example of clinical decision rules that physiotherapists use.
This study showed that the most commonly used protocols for referral were the Ottawa ankle rules, with nearly half of the physiotherapists using these intentionally.
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.
To synthesize results from a large number of studies of the Ottawa Ankle Rules, a meta-analysis involving 27 studies including over 15,000 patients found that evidence supported the rules as an instrument for clinically excluding fractures of the ankle and midfoot.

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