The Ottawa ankle rules are a clinical decision-making strategy for determining which patients require radiographic imaging for ankle and midfoot injuries. Proper application has high (97.5%) sensitivity and reduces the need for radiographs by ~35%

The Ottawa Ankle Rules are guidelines indicating that x-ray studies should be obtained if there is pain in the malleolar zone and 
A) bony tenderness at the distal 6 cm of the fibula –or– 
B) bony tenderness at the distal 6 cm of the tibia –or– inability to take 4 steps immediately after injury. 
The Ottawa Foot Rules indicate that x-rays should be obtained if there is pain in the midfoot zone and: 
C) bony tenderness at the base of the fifth metatarsal –or– 
D) bony tenderness at the navicular bone tibia –or– inability to take 4 steps immediately after injury

Satyendra Dhar MD, @DharSaty
#radiography, #clinicalguidelines, #lowerextremityinjuries, #anklesprains #Ottawaanklerules #anklefracture #mid-footfracture
Satyendra Dhar, MD @DharSaty · 3 years ago
Hospital Medicine Clinical Assistant Professor The content and images on this website are provided for educational and informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. The views expressed are those of the authors and do not necessarily reflect those of any affiliated institutions. While efforts are made to ensure accuracy and currency, medical knowledge is continually evolving, and errors or omissions may occur. Users are advised to independently verify information and seek guidance from qualified healthcare professionals for any medical decisions. By using this website, you acknowledge responsibility for your own clinical judgments, and the website and its contributors disclaim any liability arising from the use of its content. 👉 Follow 'Medical Infographics' on 👉 https://www.DharSaty.com
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