Ottawa Ankle Rules: Difference between revisions
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4. Bony tenderness at the navicular | 4. Bony tenderness at the navicular | ||
5. Inability to bear weight both immediately after injury and for 4 steps during intial evaluation | 5. Inability to bear weight both immediately after injury and for 4 steps during intial evaluation<ref name="Flynn et al">Flynn TW, Cleland JA, Whitman JM. User's guide to the musculoskeletal examination. Evidence in motion; 2008.</ref> | ||
== Evidence<br> == | == Evidence<br> == | ||
Revision as of 21:32, 1 July 2009
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Purpose
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To determine the need to order radiographs after accute ankle injury.[1]
Variables:[edit | edit source]
1. Bony tenderness along distal 6 cm of posterior edge of tibia/tip of medial malleolus
2. Bony tenderness along distal 6 cm of posterior edge of fibula or tip of lateral malleolus
3. Bony tenderness at the base of 5th metatarsal
4. Bony tenderness at the navicular
5. Inability to bear weight both immediately after injury and for 4 steps during intial evaluation[2]
Evidence
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Sensitivity = 98% [3]
- LR = 0.10
Resources[edit | edit source]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Bachmann LM, Haberzeth S, Steurer J, ter Riet G. The accuracy of the Ottawa knee rule to rule out knee fractures: a systematic review. Ann Intern Med. 2004 Jan 20;140(2):121-4.
- ↑ Flynn TW, Cleland JA, Whitman JM. User's guide to the musculoskeletal examination. Evidence in motion; 2008.
- ↑ Bachmann LM, Kolb E, Koller MT, et all. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematice review. BMJ 2003; 326(7386):417.
