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USE OF X-RAYS TO EVALUATE ANKLE AND FOOT INJURIES IN ADULTS
(The Ottawa Ankle Rules)

Ankle Injuries:
An ankle radiographic series is only required if there is any pain in malleolar zone AND
    any of these findings:
1.  Bone tenderness at A (see diagram below)
or,
2.  Bone tenderness at B
or,
3.  Inability to bear weight both immediately and in emergency department or clinic
Foot Injuries:
A foot radiographic series in only required if there is any pain in midfoot zone AND
    any of these findings:
1.  Bone tenderness at C (see diagram)
or,
2.  Bone tenderness at D
or,
3.  Inability to bear weight both immediately and in emergency department or clinic

ottawa.gif (4025 bytes)
Illustration re-created with permission, Copyright 1993, American Medical Association. Adapted from JAMA 1993, 269; 1127-1132.


University of South Alabama

USA College of Medicine

Last updated: May 16, 2003
URL: http://www.southalabama.edu/famprac
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