Ottawa Ankle Rules

The Ottawa ankle rule is an effective tool to determine the use of radiography for acute ankle injuries.

• These rules is validated in both adults and children.

• It has a high sensitivity of 90%-100% and has clinical significance to rule out foot fracture but has poor specificity for ruling in foot fractures ( many false positives).

Some points to consider when carrying the assessment:

• Palpate the entire distal 6cm of the fibula and tibia;

• Do not neglect the importance of medial malleolar tenderness;

• “Bearing weight” counts even if the patient limps;

* Image Credit

#Theory #Ankle