Ottawa Ankle Rules
Does this ankle injury require an x-ray?
About
The Ottawa ankle rules have been validated in adults with 100% Sensitivity.
In children ages 1-15 the Ottawa Ankle rules have been validated with 98-100% Specificity and 36-47% Sensitivity for clinically significant ankle injuries, however other studies have suggested lower sensitivity rates. Clinical judgment should be used in younger children.
References
Libetta et al.
Journal of Accident & Emergency Medicine 1999, 16 (5): 342-4
Plint et al.
Academic Emergency Medicine 1999, 6 (10): 1005-9
Stiell et al.
JAMA: the Journal of the American Medical Association 1993 March 3, 269 (9): 1127-32
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