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Answer :
Final answer:
Tenderness over the talus is not part of the Ottawa ankle rules. These rules mainly focus on the ability to bear weight after injury and tenderness over the malleoli for deciding on the need for an X-ray.
Explanation:
The one option listed that is not part of the Ottawa ankle rules is 5) tenderness over the talus. The Ottawa ankle rules are a set of guidelines to help health professionals determine when an X-ray is needed for a possible ankle or foot fracture. Basically, these rules suggest an X-ray if there is any pain in the malleolar or midfoot area and one of the following: an inability to bear weight both immediately and in the emergency department (four steps), or bone tenderness at the posterior edge or tip of either malleolus. While tenderness over the talus may be clinically significant, it is not specifically mentioned within the Ottawa ankle rules.
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