Podcast
Questions and Answers
According to the Ottawa ankle rules, which palpatory finding in the ankle region necessitates an X-ray?
According to the Ottawa ankle rules, which palpatory finding in the ankle region necessitates an X-ray?
- Tenderness to palpation over the anterior aspect of the tibia.
- Tenderness to palpation over the anterior aspect of the distal fibula.
- Bony tenderness to palpation over the posterior aspect of the distal fibula within the distal six centimeters. (correct)
- Tenderness to palpation over the medial malleolus.
In the context of the Ottawa ankle rules, what specific location on the foot, when tender to palpation, indicates the need for an X-ray?
In the context of the Ottawa ankle rules, what specific location on the foot, when tender to palpation, indicates the need for an X-ray?
- The base of the fifth metatarsal. (correct)
- The distal phalanx of the great toe.
- The cuboid.
- The calcaneus.
Which scenario, incorporating the Ottawa ankle rules, would necessitate an X-ray of the foot?
Which scenario, incorporating the Ottawa ankle rules, would necessitate an X-ray of the foot?
- Ability to bear weight immediately after injury, coupled with tenderness over the calcaneus.
- Inability to bear weight immediately after injury, combined with tenderness over the navicular. (correct)
- Inability to bear weight and tenderness over the anterior process of the calcaneus.
- Ability to bear weight and tenderness over the cuboid.
A patient presents with an ankle injury and can bear weight with some difficulty. Palpation reveals tenderness over the deltoid ligament. According to the Ottawa ankle rules, is an X-ray indicated, and why?
A patient presents with an ankle injury and can bear weight with some difficulty. Palpation reveals tenderness over the deltoid ligament. According to the Ottawa ankle rules, is an X-ray indicated, and why?
A basketball player injures their ankle during a game. They are unable to bear weight immediately after the injury, but report that they were able to walk on it later. Palpation reveals tenderness over the posterior aspect of the distal tibia. Does this scenario necessitate an X-ray based on the Ottawa ankle rules?
A basketball player injures their ankle during a game. They are unable to bear weight immediately after the injury, but report that they were able to walk on it later. Palpation reveals tenderness over the posterior aspect of the distal tibia. Does this scenario necessitate an X-ray based on the Ottawa ankle rules?
According to the Ottawa ankle rules, what is the significance of the 'inability to bear weight' criterion in determining the need for an ankle X-ray?
According to the Ottawa ankle rules, what is the significance of the 'inability to bear weight' criterion in determining the need for an ankle X-ray?
A patient reports tenderness to palpation over the anterior aspect of the distal tibia six centimeters from the joint line following an ankle injury, but they are able to bear weight. How do the Ottawa ankle rules guide the decision regarding X-ray necessity?
A patient reports tenderness to palpation over the anterior aspect of the distal tibia six centimeters from the joint line following an ankle injury, but they are able to bear weight. How do the Ottawa ankle rules guide the decision regarding X-ray necessity?
How do the Ottawa ankle rules differentiate between the areas of the foot and ankle for which tenderness to palpation would necessitate an X-ray?
How do the Ottawa ankle rules differentiate between the areas of the foot and ankle for which tenderness to palpation would necessitate an X-ray?
In applying the Ottawa ankle rules, how does the location of bony tenderness on the distal fibula influence the decision to order an X-ray?
In applying the Ottawa ankle rules, how does the location of bony tenderness on the distal fibula influence the decision to order an X-ray?
What is the combined significance of 'inability to bear weight' and specific palpatory findings in the Ottawa ankle rules?
What is the combined significance of 'inability to bear weight' and specific palpatory findings in the Ottawa ankle rules?
Flashcards
Ottawa Ankle Rules
Ottawa Ankle Rules
Clinical guidelines to determine the necessity of X-rays for ankle injuries.
Inability to bear weight
Inability to bear weight
Inability to bear weight immediately after the injury and in the emergency department.
Distal Fibula Tenderness
Distal Fibula Tenderness
Tenderness upon palpation along the posterior edge or tip of the lateral malleolus.
Distal Tibia Tenderness
Distal Tibia Tenderness
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Navicular Tenderness
Navicular Tenderness
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Base of 5th Metatarsal Tenderness
Base of 5th Metatarsal Tenderness
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Study Notes
Ottawa Ankle Rules
- The Ottawa ankle rules provide guidelines for when to order an X-ray for a patient with an ankle injury
Indications for X-Ray
- Inability to bear weight
- Plus palpatory findings
Palpatory Findings for Ankle
- Bony tenderness to palpation over the posterior aspect of the distal fibula (distal 6 cm)
- Tenderness of the posterior aspect of the distal tibia (distal 6 cm)
Palpatory Findings for Foot
- Inability to bear weight
- Plus tenderness over the navicular
- Or tenderness at the base of the fifth metatarsal
Summary of Ottawa Ankle Rules
- X-ray is indicated if there is an inability to bear weight
- Combined with focal bony tenderness to palpation in the following areas
- Posterior aspect of the distal fibula
- Base of the fifth metatarsal
- Posterior aspect of the distal tibia
- Navicular
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