Last week, we discussed the distal fibula fracture. In the comments we noticed some of you asking about the Ottowa Ankle Rules.

These rules were created in 1972 by a couple of emergency medicine physicians to try and figure out who required x-rays following an ankle injury.

Prior to this, there was a major study done, which found that approximately 5% of all ED admissions are ankle injuries. From all the ankle injuries which came in to the emergency department, only 15% were actually a fracture.

Meaning 85% of patients were getting x-rays when there was zero need to do so.

With that said, I've never used the Ottowa Ankle Rule and I've never seen an orthopedic use the rules either.

Today, I want to share why...
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This video should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.

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