Which of the following are the Ottawa rules for obtaining X-rays for ankle injuries?

1. Bone tenderness along the distal 6 cm of the posterior edge of the tibia or the tip of the medial malleolus.

2. Bone tenderness along the distal 6 cm of the posterior edge of the fibula or the tip of the lateral malleolus.

3. Inability to bear weight at the time of injury and inability to bear weight with four steps during the exam.

Question

22-02-2025
Health

High School

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Which of the following are the Ottawa rules for obtaining X-rays for ankle injuries?

1. Bone tenderness along the distal 6 cm of the posterior edge of the tibia or the tip of the medial malleolus.

2. Bone tenderness along the distal 6 cm of the posterior edge of the fibula or the tip of the lateral malleolus.

3. Inability to bear weight at the time of injury and inability to bear weight with four steps during the exam.

Answer :

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The Ottawa rules for obtaining X-rays for ankle injuries consist of checking for bone tenderness along the posterior edge of the tibia or fibula near the malleoli, and assessing whether the patient can bear weight. These rules help determine the need for an X-ray to avoid unnecessary radiation exposure.

All options are correct.

The Ottawa rules for obtaining X-rays for ankle injuries are guidelines to help clinicians determine whether an X-ray is necessary for an ankle injury. The three criteria include:

Bone tenderness along the distal 6 cm posterior edge of the tibia or the tip of the medial malleolus.
Bone tenderness along the distal 6 cm posterior edge of the fibula or the tip of the lateral malleolus.
Inability to bear weight at the time of injury and inability to bear weight with four steps during the examination.

These rules are based on the anatomy of the ankle, which includes the medial malleolus formed by the distal end of the tibia and the lateral malleolus formed by the distal end of the fibula. Both malleoli provide stability and are common sites of injury in sprains and fractures. The Ottawa rules help clinicians avoid unnecessary radiation exposure from X-rays when they are not clinically indicated.