Clinician's Corner: Mastering the Ottawa Ankle Rule: What is it?
DOI:
https://doi.org/10.29173/cjen189Abstract
The Ottawa Ankle Rule (OAR) is a clinical decision-making tool to help guide clinicians’ decision to obtain an ankle radiograph (x-ray) to rule out a clinically significant ankle or foot fracture among patients who have suffered a blunt, traumatic injury (Stiell et al., 1992). The Ottawa Ankle Rule (OAR) carries a 100% sensitivity for ankle or foot fractures (Stiell et al., 1992) and has been validated for use in multiple studies (Sperry et al., 1999; Stiell et al., 1993). Subsequent studies have found that the OAR can be applied to children aged 2–16 years presenting to the emergency department (ED) with similarly high sensitivity (Plint et al., 1999).
References
Lee, W. W., Filiatrault, L., Abu-Laban, R. B., Rashidi, A., Yau, L., & Liu, N. (2016). Effect of triage nurse-initiated radiography using the Ottawa Ankle Rules on emergency department length of stay at a tertiary centre. Canadian Journal of Emergency Nursing, 18(2), 90–97. https://doi.org/10.1017/cem.2015.67
Leddy, J. J., Smolinski, R. J., Lawrence, J., Snyder, J. L., & Priore, R. L. (1998). Prospective evaluation of the Ottawa Ankle Rules in a university sports medicine center. American Journal of Sports Medicine, 26(2), 158–165. https://doi.org/10.1177/03635465980260020201
MacLellan, J., Smith, T., Baserman, J., & Dowling, S. (2017). Accuracy of the Ottawa Ankle Rules applied by non-physician providers in a pediatric emergency department. Canadian Journal of Emergency Nursing, 20(5), 1–7. https://doi.org/10.1017/cem.2017.399
Perry, S., Raby, N., & Grant, P. T. (1999). Prospective survey to verify the Ottawa Ankle Rules. Emergency Medicine Journal, 16(4), 258–260. https://doi.org/10.1136/emj.16.4.258
Plint, A. C., Bulloch, B., Osmond, M. H., Stiell, I., Dunlap, H., Reed, M., Tenenbein, M., & Klassen, T. P. (1999). Validation of the Ottawa Ankle Rules in children with ankle injuries. Academic Emergency Medicine 6(10), 1005–1009. https://doi.org/10.1111/j.1553-2712.1999.tb01183.x
Stiell, I. G., Greenberg, G. H., McKnight, R. D., Nair, R. C., McDowell, I., & Worthington, J. R. (1992). A study to develop clinical decision rules for the use of radiography in acute ankle injuries. Annals of Emergency Medicine, 21(4), 384–390. https://doi.org/10.1016/s0196-0644(05)82656-3
Stiell, I. G., Greenberg, G. H., McKnight, R. D., Nair, R. C., McDowell, I., Reardon, M., Stewart, J. P., & Maloney, J. (1993). Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. JAMA, 3(269), 1127–1132. https://doi.org/10.1001/jama.1993.03500090063034
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Canadian Journal of Emergency Nursing is published Open Access under a Creative Commons CC-BY 4.0 license. Authors retain full copyright.
