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Diagnosis
Review: the Ottawa Ankle rules are accurate for excluding fractures in acute blunt ankle/midfoot injury in children

http://dx.doi.org/10.1136/ebm.14.6.184

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    Questions

    In children, are the Ottawa Ankle Rules (OAR) accurate for excluding fractures of the ankle and midfoot? Can ankle/foot x rays be reduced without missing important fractures?

    Review scope

    Included studies used the OAR to diagnose fractures of the ankle or midfoot in children (⩽18 y) who presented to the emergency department with acute blunt ankle and/or midfoot injury, and reported absolute numbers for comparing the OAR with the diagnostic standard (x rays of ankle/foot or proxy measure, such as telephone follow-up at 14 d). Toddlers must have begun walking before injury. Outcomes were sensitivity, specificity, and likelihood ratios (LRs) to detect fracture, and x ray reduction rates.

    Review methods

    Medline, CINAHL, EMBASE/Excerpta Medica, Cochrane Central Register of Controlled Trials, National Library of Medicine Gateway, and BioMed Central (all …

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    Footnotes

    • Source of funding: no external funding.