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Ottawa Ankle Rules

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Sep 27, 2014.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Minimising negative ankle and foot X-rays in the Emergency Department-Are the Ottawa ankle rules good enough?
    Crosswell S, Leaman A, Phung W
    Injury. 2014 Sep 16.
     
  2. Admin2

    Admin2 Administrator Staff Member

    Ottawa ankle rules

    Ligaments of the ankle.

    In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture. Before the introduction of the rules most patients with ankle injuries would have been imaged. However the vast majority of patients with unclear ankle injuries do not have bone fractures.[1] As a result, many unnecessary X-rays were taken, which was costly, time-consuming and a slight health risk due to radiation exposure.

    1. ^ Sujitkumar P, Hadfield JM, Yates DW (June 1986). "Sprain or fracture? An analysis of 2000 ankle injuries". Arch Emerg Med. 3 (2): 101–6. doi:10.1136/emj.3.2.101. PMC 1285323. PMID 3089238.
     
  3. Admin2

    Admin2 Administrator Staff Member

  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effect of triage-based use of the Ottawa foot and ankle rules on the number of orders for radiographic imaging.
    Ashurst JV, Nappe T, Digiambattista S, Kambhampati A, Alam S, Ortiz M, Delpais P, Porter BG, Kurt A, Kane BG, Greenberg MR.
    J Am Osteopath Assoc. 2014 Dec;114(12):890-7. doi: 10.7556/jaoa.2014.184.
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Press Release:
    For kids with injured ankles, less treatment may be more
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Validation of the Ottawa Ankle Rules for Acute Foot and Ankle Injuries
    Shannon David, Kim Gray, Jeffrey Russell, and Chad Starkey
    JSR In Press
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    PUBLIC RELEASE: 9-MAY-2016
    Does this ankle need an X-ray? There's an app for that
    App based on internationally-known Ottawa Rules will save patients from unnecessary scans
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effectiveness of emergency nurses’ use of the Ottawa Ankle Rules to initiate radiographic tests on improving healthcare outcomes for patients with ankle injuries: A systematic review
    Jonathan Ka-Ming Ho et al
    International Journal of Nursing Studies; 25 August 2016
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Implementation of the Ottawa ankle rules by general practitioners in the emergency department of a Turkish district hospital.
    Das M et al
    Ulus Travma Acil Cerrahi Derg. 2016 Jul;22(4):361-364. doi: 10.5505/tjtes.2016.72662.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Diagnostic accuracy of the Ottawa Ankle and Midfoot Rules: a systematic review with meta-analysis
    Paula R Beckenkamp et al
    Br J Sports Med; 24 November 2016
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Validation of Ottawa ankle rule utilizing radionuclide skeletal
    scintigraphy.

    Qureshi SZ, Shah FH, Waqar MA.
    Pak J Nucl Med 2016;6:30-39.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Diagnostic accuracy of the Ottawa Ankle and Midfoot Rules: a systematic review with meta-analysis
    Beckenkamp PR, Lin CC, Macaskill P, et al
    Br J Sports Med 2017;51:504-510.
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Impact of Clinical Decision Support on Radiography for Acute Ankle Injuries: A Randomized Trial.
    Tajmir S et al
    West J Emerg Med. 2017 Apr;18(3):487-495.
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Diagnostic Accuracy of Clinical Decision Rules to Exclude Fractures in Acute Ankle Injuries: Systematic Review and Meta-analysis.
    Barelds I et al
    J Emerg Med. 2017 Jul 29. pii: S0736-4679(17)30465-1. doi: 10.1016/j.jemermed.2017.04.035
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Efficiency of the Modified Ottawa ankle rules for the differential diagnosis of fracture in acute foot and ankle injury
    Li N, Liu YS, Xin JY, Ma XL, Mei XL, Shi ZQ, Li G, Sun ZH.
    Zhonghua Yi Xue Za Zhi. 2017 Sep 19;97(35):2742-2745. doi: 10.3760/cma.j.issn.0376-2491.2017.35.006.
     
  16. Dieter Fellner

    Dieter Fellner Well-Known Member

    In 3 years of hospital residency, I never saw a patient with an ankle injury not have a x-ray.

    Not in America. Yes, it's a litigious society and the risk of a 'missed' fracture far outweigh the $20 x-ray that settles the discussion. Radiation risk is very low, patients are reassured and the lawyers are happy.

    Ottowa 'rule'? Sure.
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Accuracy of the Ottawa Ankle Rules applied by non-physician providers in a pediatric emergency department.
    MacLellan J et al
    CJEM. 2017 Oct 2:1-7. doi: 10.1017/cem.2017.399.
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Nurse-initiated radiographic-test protocol for ankle injuries: A randomized controlled trial.
    Ho JK et al
    Int Emerg Nurs. 2018 Apr 24. pii: S1755-599X(18)30040-5.
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    ACR Appropriateness Criteria® Acute Trauma to the Foot.
    Expert Panel on Musculoskeletal Imaging, Gorbachova T et al
    J Am Coll Radiol. 2020 May;17(5S):S2-S11
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Shetty Test in Ankle and Foot Trauma: An Emergency Department Pilot Study Assessing Specificity and Sensitivity
    David Jovic et al
    Emerg Med Australas. 2020 May 27
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Adequacy of clinical information in X-ray referrals for traumatic ankle injury with reference to the Ottawa Ankle Rules—a retrospective clinical audit.
    Gomes YE, Chau M, Banwell HA, Davies J, Causby RS. 2020.
    PeerJ 8:e10152
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Application of the Ottawa Protocol by Medical Students and Orthopedic Residents on Ankle Sprains at a Trauma Hospital
    José Marcos Lavrador Filho et al
    Rev Bras Ortop (Sao Paulo). 2020 Oct;55(5):620-624
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Validation of the Ottawa ankle rules: Strategies for increasing specificity
    Bruno Morais et al
    Injury. 2021 Jan 10;S0020-1383(21)00022-X
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Evaluation the accuracy and cost effectiveness of using the Bernese and Ottawa rules in ankle Sprain
    Seyyed Mahdi Zia Ziabari et al
    Int J Burns Trauma. 2021 Feb 15;11(1):34-40
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A 20-year perspective on the Ottawa Ankle Rules: Are we still on solid footing?
    Lawrence Herman
    JAAPA. 2021 Jul 1;34(7):15-20
     
  26. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Accuracy of Ottawa ankle rules for midfoot and ankle injuries
    Selen Yavas et al
    Acta Biomed. 2021 Sep 2;92(4):e2021241
     
  27. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Comparison of Ottawa Ankle Rules and Shetty test performances in foot-ankle trauma patients visited to the emergency department
    Rohat Ak et al
    Injury. 2022 Mar 31
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Use of Ottawa ankle rules in a referral hospital in Peru
    Miguel Angel Palacios-Flores, José Fernando Rodríguez-Cavani
    Rev Esp Cir Ortop Traumatol. 2022 Apr 26
     
  29. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  30. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Diagnostic accuracy of the Ottawa ankle rule to exclude fractures in acute ankle injuries in adults: a systematic review and meta-analysis
    Yolanda E Gomes et al
    BMC Musculoskelet Disord. 2022 Sep 23;23(1):885
     
  31. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Comparison of Shetty ankle test and Ottawa ankle rules in ankle injuries
    Ö Avinca, M Taş
    Eur Rev Med Pharmacol Sci. 2023 Mar;27(5):1852-1855
     
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