Ankle Injury

Question 1

Common mechanism of injury?

Answer 1

Inversion of foot due to damage to anteriortalofibular ligament and lateral malleolus

Question 2

X-ray Ottawa Ankle Rules?

Answer 2

X- ray if:

1. Unable to walk 4 steps in ED or immediately after injury
2. Bony tenderness over points described:
   
   • Posterior edge/tip of lateral malleolus
   • Posterios edge/tip of medial malleolus
   • Base of 5th metatarsal (L)
   • Navicular
3. Pain in either midfoot (foot x-ray) or malleolar zone (ankle x-ray)

Question 3

Mx?

Answer 3

RICE