Ottawa Ankle Rules

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Purpose
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To determine the need to order radiographs after accute ankle injury.

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

Evidence
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Sensitivity = 98% [1]

- LR = 0.10

Resources[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. 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.