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Using the Ottawa Ankle rules, an ankle X-ray is only required if there is pain in the malleolar zone, plus one of the following:

- Tenderness at the posterior lateral malleolus
- Tenderness at the posterior medial malleolus
- Inability to bear weight (both immediately and in the ED)

A) True
B) False

Answer :

Final answer:

An X-ray is required based on specific criteria according to the Ottawa Ankle rules, and the statement in the question is true. The correct option is a.

Explanation:

Ankle X-ray is only required if there is pain in the malleolar zone, along with tenderness at the posterior lateral malleolus, tenderness at the posterior medial malleolus, or inability to bear weight.

This is a True statement according to the Ottawa Ankle rules guidelines. In cases like Pott's fracture, the strong deltoid ligament on the medial side of the ankle may shear off the medial malleolus of the tibia, leading to lateral movement of the talus and possible fracture of the distal fibula.

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