CPR for Ankle Fracture
Ottawa Ankle Rules for excluding ankle and mid-foot fractures
Does the patient have:
- Inability to walk 4 steps immediately after an injury
- Localized tenderness of the posterior edge or tip of either malleoli
- Localized tenderness of the navicular bone or base of 5th metarsal
If they have either of 1-3 in addition to “pain in the midfoot or ankle”, they should be referred for an x-ray
Bachmann LM, Kolb E, Koller MT, et al. Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review.British Medical Journal; 326: 417-19.