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Which of the following is NOT a factor in the Ottawa Ankle Rules?

A. Bone tenderness at the posterior edge or tip of the lateral malleolus
B. Bone tenderness at the posterior edge or tip of the medial malleolus
C. An inability to bear weight both immediately and in the emergency department for four steps
D. Swelling of the ankle joint

Answer :

Final answer:

The Ottawa Ankle Rules are guidelines to decide on the need for an X-ray after an ankle injury, considering possible fracture. Age, type of footwear worn during injury, prior injuries to the same ankle, or time elapsed since the injury are NOT factors in these rules.

Explanation:

The Ottawa Ankle Rules are a set of guidelines used by healthcare professionals to decide whether an X-ray is necessary to diagnose a possible fracture after ankle injury. The rules suggest imaging if the patient has pain in the malleolar zone and any one of these findings: inability to bear weight immediately and in the emergency department for four steps, tenderness at the tip of the lateral or medial malleolus, or tenderness at the base of the fifth metatarsal or navicular bone.

What is NOT a factor in these rules is the patient's age. Age is not considered when applying the Ottawa Ankle Rules. Other factors not considered include the type of footwear worn at the time of the injury, prior injuries to the same ankle, or the time elapsed since the injury.

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