Ankle/Foot

Question 1

Ottawa Ankle Rules

Answer 1

5 Component to Test:

A. Bony tenderness along distal 6 cm of posterior edge of fibula or tip of lateral malleolus

B. Bony tenderness along distal 6 cm of posterior edge of tibia/tip of medial malleolus

C. Bony tenderness at the base of 5th metatarsal

D. Bony tenderness at the navicular

E. Inability to bear weight both immediately after injury and for 4 steps during intial evaluation

Ensure to apply the Ottawa Ankle Rules accurately by…

Palpating the entire distal 6cm of the tibia and fibula
Not neglecting the importance of medial malleolar tenderness
Using the rules only on those over the age of 18