Ottawa Ankle Rules
Foot/Ankle pain AND ________ over the medial malleolus would prompt an x-ray
Tenderness
MOI: got foot stepped on. (+) compression on 5th MT.
Fracture
Pain and an inability to take ____ steps would prompt an x-ray
Four
MOI: Kicked in the shin. (+) tinels sign. No other positive tests
Contusion
Refer for X-ray or not?
Case: Someone inverted their ankle and report pain on the lateral ankle, they are TTP over their navicular but no where else.
Yes
What bone is fractured? MOI: tackled from behind. (+) bump test.
Tibia