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Emergency Medicine · Orthopedics

Ottawa Ankle Rules calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Result

0

Neither ankle nor foot radiograph criterion met

The Ottawa rule does not indicate ankle or foot radiography.

Formula inputs

  • Pain in the malleolar zone
  • Bone tenderness at posterior edge/tip of lateral malleolus
  • Bone tenderness at posterior edge/tip of medial malleolus
  • Pain in the midfoot zone
  • Bone tenderness at base of fifth metatarsal
  • Bone tenderness over navicular
  • Unable to bear weight for 4 steps both immediately and in evaluation

Primary source

Stiell IG et al. Decision rules for radiography in acute ankle injuries: refinement and validation. JAMA (1993)

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