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

The Ottawa Ankle Rules calculator is created by QxMD.
Default Units

1. Inability to weight bear (4 steps) both immediately and in the Emergency department?

0/5 completed

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

The Ottawa Ankle Rules calculator is created by QxMD.
Legal Notices and Disclaimer

© 2020 QxMD Software Inc., all rights reserved. No part of this service may be reproduced in any way without express written consent of QxMD. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgment or guide individual patient care in any manner. Click here for full notice and disclaimer.