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The Ottawa Ankle Rule rules out clinically significant foot and ankle fractures to reduce use of x-ray imaging.
The Ottawa Ankle Rules were established to help physicians decide which patients should have an x-ray following an acute ankle injury. [3] Evidence supports the Ottawa ankle rules as an accurate instrument for excluding fractures of the ankle and mid-foot.
3 Nov 2018 · The Ottawa ankle rules are a clinical decision-making strategy for determining which patients require radiographic imaging for ankle and midfoot injuries. Proper application has high (97.5%) sensitivity and reduces the need for radiographs by ~35% 1,2,4 .
In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture. Before the introduction of the rules most patients with ankle injuries would have been imaged.
Ottawa Ankle Rules This guideline will aid you in determining which patients require an x-ray of their ankle. Exclusions • Less than 18 years old • Intoxication • Multiple painful injuries • Pregnant • Head injury • Diminished sensation due to neurological deficit Recommendations
The Ottawa Ankle Rules (OARs) are a highly valid screening tool to assess for fractures of the tibia, fibula, 5th metatarsal, and navicular bone. They have been developed to reduce the need for radiographs after acute trauma. A review by Bachmann et al. (2003) rated the sensitivity between 96.4 to 99.6% and the specificity at 26.3 to 47.9%.
The Ottawa Ankle Rules (OAR) test is a guideline that can be used by health care professionals (physical therapist, emergency physician, primary care physician) in deciding whether radiography is necessary to identify the presence of an ankle or foot fracture.
The Ottawa Ankle Rules are a clinical decision-making strategy for determining which patients require radiographic imaging for ankle and midfoot injuries. Request an x-ray for a patient with traumatic ankle pain if they have any of the following: (A) point tenderness at posterior edge (of distal 6 cm) or tip lateral malleolus
Summary: The Ottawa Ankle Rules are simple guidelines developed to aid emergency physicians in deciding when to use radiography for patients with injuries to the ankle.
15 Ogo 2003 · The rules are based on the patient's ability to walk four steps immediately after the injury and assessment of localized tenderness at specific sites, such as the posterior edge or tip of either...
