• Lian Yun-Perng, Physiotherapist

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

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Lian Yun-Perng  

UK Qualified Physiotherapist
Bachelor of Physiotherapy

Keele University, United Kingdom
Diploma in Physiotherapy

AIMST University, Malaysia

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