Ottawa_Ankle_Rule v.0.1.0
Applies the Ottawa Ankle Rule based on recorded clinical findings to determine if an ankle X-ray series and/or a foot X-ray series is indicated.
To determine the need for radiography in acute ankle and midfoot injuries based on the Ottawa Ankle Rule
Patient presents with acute ankle or midfoot pain following trauma. Perform physical examination following Ottawa Ankle Rule criteria. Order radiographs only if one or more of the following apply: Ankle X-ray indications: Bone tenderness at the posterior lateral malleolus. Bone tenderness at the posterior medial malleolus. Inability to bear weight immediately and take four steps. Foot X-ray indications: Bone tenderness at the base of the 5th metatarsal. Bone tenderness at the navicular bone. Inability to bear weight immediately and take four steps.
Should not be applied in pediatric patients (<18 years). Not suitable for patients with polytrauma, intoxication, or altered mental status. Not applicable if required input data is missing.
Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Worthington JR. A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Ann Emerg Med. 1992 Apr;21(4):384-90. doi: 10.1016/s0196-0644(05)82656-3. PMID: 1554175. Stiell IG, Greenberg GH, McKnight RD, Nair RC, McDowell I, Reardon M, Stewart JP, Maloney J. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. JAMA. 1993 Mar 3;269(9):1127-32. doi: 10.1001/jama.269.9.1127. PMID: 8433468.
openEHR-EHR-OBSERVATION.ottawa_ankle_rule, openEHR-EHR-OBSERVATION.basic_demographic, openEHR-EHR-EVALUATION.ottawa_ankle_rule_assessment
