Evaluation of the Ottawa Clinical Decision Rules for the Use of Radiography in Acute Ankle and Midfoot Injuries in the Emergency Department: An Independent Site Assessment

Implementation of the Ottawa ankle rules by general practitioners in an emergency department of a Turkish district hospital

“…The OAR have been widely applied in many countries, [6][7][8][9][10][11] and are regarded as a highly sensitive and modestly specific method of detecting fracture in clinical setting. [12] However, the introduction of any new diagnostic method in a specific clinical setting and culture requires considerable caution, as sensitivity and specificity may be significantly affected.…”

The Bernese Ankle Rules: A Fast, Reliable Test after Low-Energy, Supination-Type Malleolar and Midfoot Trauma

“…1,[5][6][7]12 Because ankle and midfoot sprains are one of the most common complaints among patients visiting the emergency unit, the consequent application of the rules may remarkably save time and costs for both the patient and the health care system. 1,9 One of the weak points of the Ottawa ankle rules is the low specificity of the test, which leads to many false-positive clinical findings 4,6,7,[11][12][13]16 (Table 2). We noticed that direct palpation of the bone using the fingertip produces pain, not only in acutely injured patients but also in numerous uninjured, mainly female individuals.…”

Ankle Instability in Sports

“…Th e Ottawa ankle rules [27][28][29] represent an algorithm that aims to prevent unnecessary radiographic investigation in the setting of acute ankle sprains. The rules recommend ankle radiographs if the patient is not capable of taking 3 steps (limping is permitted) aft er the injury, or in the presence of tenderness over the mid portion or crest of the medial or lateral malleolus, ranging from the tip to 6 cm proximally.…”