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    • Diagnostic Imaging - Ottawa Ankle Rules

    Ottawa Ankle Rule for the Use of X-Ray in Ankle Injury

    Select Criteria:

    		X-Ray Indicated : 1 Required Criteria and 1 Major Criteria
     
    Required Criteria
    Pain near the malleous
    Major Criteria
    Inability to bear wieght right after the injury as well as in the emergency department (4 steps)
    Bone tenderness at the posterior edge or tip of either malleolus
    Results:
    1. Stiell IG, McKnight RD, Greenberg GH, et. al. Implementation of the Ottawa ankle rules. JAMA. 1994 Mar 16;271(11):827-832.
    2. Stiell IG, Greenberg GH, McKnight RD, et.al. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. . JAMA. 1993 Mar 3;269(9):1127-32.
    3. Stiell IG, Greenberg GH, McKnight RD, et. al. A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med. 1992 Apr;21(4):384-90.
    4. Stiell IG, McKnight RD, Greenberg GH, et. al. Interobserver agreement in the examination of acute ankle injury patients. Am J Emerg Med. 1992 Jan;10(1):14-17.
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