Orthopedics

Ottawa Ankle Rules

Clinical decision rule to determine need for ankle and foot radiography after injury

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Input Parameters

Pain in malleolar zone?

Bone tenderness at posterior edge or tip of lateral malleolus?

Bone tenderness at posterior edge or tip of medial malleolus?

Unable to bear weight both immediately and in ED (4 steps)?

Pain in midfoot zone?

Bone tenderness at navicular?

Bone tenderness at base of 5th metatarsal?

Unable to bear weight both immediately and in ED (4 steps)?

Clinical Note (Optional)

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