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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. Validation of the Ottawa ankle rules in children. J Acad Emerg Med. 1999 September; 16(5): 342-344.
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Plint et al. Validation of the Ottawa Ankle Rules in children with ankle injuries. Academic Emergency Medicine. 6(10):1005-9, 1999 Oct.
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Stiell et al. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. JAMA. 269(9):1127-32, 1993 Mar 3.
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