Acute ankle injuries: clinical decision rules for radiographse

Am Fam Physician. 1997 Jun;55(8):2721-8.


The need to perform "routine" radiographs after every case of ankle trauma has been repeatedly questioned, since less than 15 percent of ankle injuries are found to involve a significant fracture. Several authors have proposed guidelines to define clinical characteristics that may help physicians identify patients with a higher probability of having a fracture on the radiograph. The Ottawa ankle rules are the latest guidelines developed for the management of ankle injuries. These highly sensitive decision rules may allow a significant reduction in the number of ankle radiographic series ordered and may decrease patients' waiting times and costs without an increased rate of missed fractures or patient dissatisfaction.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acute Disease
  • Ankle Injuries / diagnostic imaging*
  • Diagnosis, Differential
  • Fractures, Bone / diagnostic imaging*
  • Humans
  • Predictive Value of Tests
  • Radiography