Betty is a 50 year old who tripped over this morning and walks in requesting assistance with excluding fracture. There is mild bruising, no swelling.

Questions

  1. What are the components of the Ottowa Ankle Rule?
  2. What are the grades of ankle sprain and the features of these?
  3. What are the features of clinical examination in ankle sprain?

 

Ottowa Ankle Rules of the ankle
Bony tenderness along distal 6cm of the posterior edge or tip of the fibula
Bony tenderness along the distal 6cm of the posterior edge or tip of tibia
Immediate inability to weight bear and on later examination to take 4 steps

Ottowa ankle rules of the foot
Bony tenderness at base of 5th metatarsal
Bony tendernes of the naicular
Immediate inability to weight bear and on later examination to take 4 steps

 

References

https://www.mdcalc.com/ottawa-ankle-rule