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Related to Ottawa ankle rules: Ottawa Knee Rules

OAR

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References in periodicals archive ?
While the Ottawa Ankle Rules are helpful in providing guidance with regard to x-rays, suspicion of a syndesmotic injury mandates x-rays to determine the stability of the joint and rule out fracture.
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.
only 5 5 1 P value 0.035 0.222 0.048 Table 3: Treatment undertaken prior to seeing physiotherapist Treatment Frequency Percent (number of patients) Compression 2 7.2 Ice 5 17.9 Ice Compression 3 10.7 Ice Elevation 1 3.6 Ice Strapping 1 3.6 Ice Voltaren 1 3.6 Nil 3 10.7 Rest Elevation 1 3.6 Rest Ice 1 3.6 RICE 8 28.6 RICE Crutches 1 3.6 Strapping 1 3.6 Total 28 100 Table 4: Investigations undertaken if appropriate using the Ottawa Ankle Rules Investigations Number of Percentage of participants participants X-ray 9 32.1 No X-ray 19 67.9 Total 28 100
This isn't because a new technology usurped the X-ray machine, but rather that evidence-based medicine and clinical protocols in the form of the Ottawa Ankle Rules showed that an X-ray was not necessary in many cases.
The Ottawa Ankle Rules (44,45) have fundamentally changed ankle injury imaging practices in emergency departments and other healthcare settings.
-- 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.

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