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Ottawa Ankle and Foot Rules
Dec 21, 2024
•
Mark Morgan
categories:
orthopedic
radiology
This is a radiology decision tool.
Ottawa ankle and foot rules
no
YES
<-- Pain in the malleolar zone
Ankle Xray Not Indicated per Ottawa Ankle Rule
no
YES
<-- Bone tenderness lower 6 cm (2.5 in) of the fibula
no
YES
<-- Bone tenderness lower 6 cm (2.5 in) of the tibia
yes
NO
<-- Able to ambulate at injury
yes
NO
<-- Able to ambulate in ER for 4 steps
Interpretation --> Ankle
Xray Indicated?
score=(Q1a)+(Q2a)+(Q3a)+(Q4a)+(Q5a);score>101?'Xray Indicated per Ottawa Ankle Rule':'Xray Not Indicated per Ottawa Ankle Rule'
no
YES
<-- Pain in the midfoot zone
no
YES
<-- Bone tenderness over the navicular bone
no
YES
<-- Bone tenderness over the base of the fifth metatarsal
yes
NO
<-- Able to ambulate at injury
yes
NO
<-- Able to ambulate in ER for 4 steps
Interpretation --> Foot
Xray Indicated?
score2=(Q1f)+(Q2f)+(Q3f)+(Q4f)+(Q5f);score2>101?'Xray Indicated per Ottawa Foot Rule':'Xray Not Indicated per Ottawa Foot Rule'
Interpretation --> Foot Xray Not Indicated per Ottawa Foot Rule
display/hide references
references:
#1
Stiell (1993) JAMA 269:1127-32.
#2
Ebell (2004) 70:1535-1536
encounter form with illustration
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