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Related to Ottawa ankle rules: Ottawa Knee Rules
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The Ottawa ankle rules (figure 4) are now generally used to determine the indication of ankle radiograph because it has demonstrated a very high sensitivity, moderate specificity, therefore, a very low rate of false negatives.
This demonstrates that the initial screening undertaken by the physiotherapists using the ACC Ankle Guidelines and the Ottawa ankle rules are helpful at determining which patients may require X-ray investigation when presenting with an acute ankle sprain.
The Ottawa Ankle Rules were a "disruptive innovation" for how we treat ankle sprains.
Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review.
Pediatricians can take some of the guesswork out of evaluating ankle injuries by using the Ottawa Ankle Rules for children and adolescents, devised by Canadian emergency physicians to cut down on the number of needless x-rays of sprains.
The Ottawa Ankle Rules for children and adolescents can take some of the guesswork out of evaluating ankle injuries and cut down on the number of needless x-rays of sprains.
Stiell IG, McKnight RD, Greenberg OH, et al: Implementation of the Ottawa ankle rules.

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