Ottawa

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Ottawa (Ankle) Rule

Ottawa (Ankle) Rule (pronounced: /ˈɒtəwə/ /ˈæŋkəl/ /ruːl/) is a clinical decision rule used in medicine to determine the need for radiography in ankle and midfoot injuries. The rule was developed by Dr. Ian Stiell and colleagues in Ottawa, Canada in 1992.

Etymology

The term "Ottawa (Ankle) Rule" is named after the city of Ottawa, where the rule was first developed and implemented. The word "rule" in this context refers to a guideline or protocol in medical practice.

Definition

The Ottawa Ankle Rule states that X-ray examination is only required if there is any pain in the malleolar or midfoot zone, and either of the following: bone tenderness along the distal 6 cm of the posterior edge of the tibia or fibula, or an inability to bear weight both immediately and in the emergency department for four steps.

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