Original contributionA pooled analysis of the Ottawa ankle rules used on adults in the ED
References (20)
- et al.
A study to develop clinical decision rules for the use of radiography in acute ankle injuries
Ann Emerg Med
(1992) - et al.
Cost-effectiveness analysis of the Ottawa ankle rules
Ann Emerg Med
(1995) - et al.
Evaluation of the Ottawa clinical decision rules for the use of radiography in acute ankle and midfoot injuries in the emergency department: An independent site assessment
Ann Emerg Med
(1994) - et al.
Sensitivity of the Ottawa rules
Ann Emerg Med
(1995) The advent of clinical standards for professional liability
Quality Rev Bull
(1990)Practice guidelines: A new reality in medicine, I. Recent developments
Arch Intern Med
(1990)- et al.
Decision rules for the use of radiography in acute ankle injuries: Refinement and prospective validation
JAMA
(1993) - et al.
Implementation of the Ottawa ankle rules
JAMA
(1994) - et al.
Failed validation of a clinical decision rule for the use of radiography in acute ankle injury
N Z Med J
(1994) - et al.
Ankle radiography in the emergency department: a prospective validation of Ottawa ankle rules
Acad Emerg Med
(1994)
Cited by (28)
[Translated article] Use of Ottawa ankle rules in a referral hospital in Peru
2022, Revista Espanola de Cirugia Ortopedica y TraumatologiaCitation Excerpt :The application of OARs yielded results in diagnostic validity testing, with sensitivity values of 100% and specificity of 25%; additionally, it yielded results in diagnostic safety testing, with a positive predictive value (PPV) of 18% and a negative predictive value (NPV) of 100%.3 An analysis of several studies combined showed a sensitivity of 98.5% (confidence interval [CI] 95: 97.2–99.8), a specificity of 31.1% (95% CI: 29.2–33.0, a PPV of 16.9% (95% CI: 15.2–18.6) and an PNV of 99.3% (95% CI: 98.7–99.9).18–20 The use of the OAR significantly reduced the number of X-rays performed in the ED by approximately 30%.11,14,17,20,21 (
The proximal fibula should be examined in all patients with ankle injury: A case series of missed maisonneuve fractures
2013, Journal of Emergency MedicineCitation Excerpt :Regardless of the criteria used to select radiographs, the clinical presentation of the MFIP almost always prompts the Emergency Physician to order ankle radiographs (as seen in all of the following cases.) Some departments order radiographs routinely, while others rely on prediction guidelines such as the Ottawa Ankle Rules (OAR) (6,7). Because the MFIP causes significant weight-bearing pain and instability, patients inevitably qualify for ankle radiographs through the “inability to take four steps” criterion of the OAR.
Common Urgent Musculoskeletal Injuries in Primary Care
2006, Primary Care - Clinics in Office PracticeCitation Excerpt :The rules were derived from an initial series of studies that were later prospectively validated. These rules have been reported to have a sensitivity of 97% to 100% [14]. All office patients presenting with a recent ankle injury should be sent for imaging if they meet the Ottawa ankle criteria.
Validity of the Ottawa ankle rules as clinical decision-making criteria when requesting x-rays in ankle and/or midfoot trauma
2006, Revista de Ortopedia y TraumatologiaCan nurses appropriately interpret the Ottawa Ankle Rule?
2004, American Journal of Emergency MedicineUptake of validated clinical practice guidelines: Experience with implementing the Ottawa Ankle Rules
2004, American Journal of Emergency Medicine
- 1
Dr Mehta was a 4th-year medical student at Wright State University School of Medicine at the time of the study.