We need you! See something you could improve? Make an edit and help improve WikSM for everyone.

Ottawa Ankle Rules

From WikiSM
Jump to: navigation, search


Other Names

  • Ankle Pain
  • Foot Pain

Purpose

Ottawa Ankle Rules
Illustration of the Ottawa Ankle Rules[1]

Description

An Ankle X-ray is only required if:

  • There is any pain in the malleolar zone; and,
  • Any one of the following:
    • Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus, OR
    • Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus, OR
    • An inability to bear weight both immediately and in the emergency department for four steps.

A Foot X-ray series is indicated if:

  • There is any pain in the midfoot zone; and,
  • Any one of the following:
    • Bone tenderness at the base of the fifth metatarsal (for foot injuries), OR
    • Bone tenderness at the navicular bone (for foot injuries), OR
    • An inability to bear weight both immediately and in the emergency department for four steps.

Pathology


Evidence

  • Sensitivity: 97.6%[1]
  • Specificity: 31.5%

See Also


References

  1. 1.0 1.1 Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ. 2003;326(7386):417.
Created by:
John Kiel on 7 August 2019 14:30:55
Authors:
Last edited:
22 April 2023 22:34:54
Category: