• J Accid Emerg Med · Jul 1999

    Prospective survey to verify the Ottawa ankle rules.

    • S Perry, N Raby, and P T Grant.
    • Accident and Emergency Department, Western Infirmary, Glasgow.
    • J Accid Emerg Med. 1999 Jul 1;16(4):258-60.

    ObjectiveTo determine if the Ottawa ankle rules are valid in the setting of an urban teaching hospital in the UK.DesignA prospective survey.SettingAccident and emergency department, Western Infirmary, Glasgow from 1 April 1995 to 31 August 1995.Subjects800 patients with an acute ankle injury.Results800 patients were used for analysis of which 584 (73%) were radiographed; 70 (12%) had fractures, 63 (10.8%) of which were significant. Four of these patients with fractures fulfilled none of the Ottawa ankle rules criteria for plain radiography.ConclusionApplication of the Ottawa ankle rules to this group of patients would have produced a sensitivity of 93.6%. Although useful, decision rules should be used with care and not replace clinical judgment and experience.

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