DR Medhat MRCP

Ottawa rules:
Def :
- Are a set of rules used to help physicians determine whether an x-ray of the knee
,ankle or feet is needed if exposed to injury .
A. Ottawa rules for ankle injury :
- The Ottawa Rules with for ankle x-rays have a sensitivity approaching 100%.
- An ankle x-ray is required only if there is any pain in the malleolar zone and any one
of the following findings:
1. Bony tenderness at the lateral malleolar zone (from the tip of the lateral
malleolus to include the lower 6 cm of posterior border of the fibular).
2. Bony tenderness at the medial malleolar zone (from the tip of the medial
malleolus to the lower 6 cm of the posterior border of the tibia).
3. Inability to walk four weight bearing steps immediately after the injury and in
the emergency department.
B. Ottawa rules for foot injury :
- Order foot radiographs only if the patient has foot pain and either of the following:
1. Inability to bear weight for four steps, both immediately and in the Emergency
Department.
2. Bone tenderness at the navicular or base of the fifth metatarsal.
Ottawa rules for foot injury
Ottawa rules for ankle injury
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