What are the three Ottawa ankle rules?

What are the three Ottawa ankle rules?

The Ottawa ankle rules There is any pain in the malleolar zone; and, Any one of the following: Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus, OR. Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus, OR.

What are the components of the Ottawa ankle rules?

Ankle Sprains 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.

When do you use Ottawa ankle rule?

Rules out clinically significant foot and ankle fractures to reduce use of x-ray imaging. Patients ≥2 years old with ankle or midfoot pain/tenderness in the setting of trauma. The Ottawa Ankle Rule was derived to aid efficient use of radiography in acute ankle and midfoot injuries.

Who developed the Ottawa ankle rules?

A later article2 encapsulated Ian Stiell’s motivation in drawing up the Ottawa Ankle Rules (OAR). The OAR project had demonstrated that more than 95% of patients with ankle injuries had radiographic examinations, but that 85% of the radiographs showed no fractures.

How do you remember Ottawa ankle rules?

The mnemonic 44-55-66-PM helps to remember the components of the Ottawa Ankle and foot Rule.

How accurate is the Ottawa ankle rules?

Conclusions: Evidence supports the Ottawa ankle rules as an accurate instrument for excluding fractures of the ankle and mid-foot. The instrument has a sensitivity of almost 100% and a modest specificity, and its use should reduce the number of unnecessary radiographs by 30-40%.

Can I walk on a lateral malleolus fracture?

You may walk on the leg as much as pain allows, and if you have been given a boot you should gradually use it less and less over four to six weeks as the pain settles. Sometimes the pain may persist but if you are walking further each day this is not uncommon. Most injuries heal without any problems.

Can you still walk with a lateral malleolus fracture?

What are the Ottawa and Buffalo rules for ankle trauma?

The Ottawa ankle rules and the Buffalo modification of the Ottawa rules should be judiciously applied to adult patients with ankle trauma to decrease the total number of ankle radiographs obtained.

What are the Ottawa Ankle Rules for X-rays?

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.

Can the Ottawa Ankle Rules be used to rule out midfoot fractures?

Conclusions: Evidence supports the use of the Ottawa Ankle Rules as an aid in ruling out fractures of the ankle and midfoot. The rules have a high sensitivity (almost 100%) and modest specificity.

Are Ottawa ankle rules useful in children under 6?

Several studies strongly support the use of the Ottawa Ankle Rules in children over 6 (98.5% sensitivity) . However, their usefulness in younger children has not yet been thoroughly examined.