WEEK 6 ankles

Question 1

what history needs to be taken?

Answer 1

mechanisim - roll of the ankle?
sounds - pop, crack
ability to weight bear
degree of pain
inital managment
investigations

Question 2

what do the ottawa ankle rules tell us? about ankles?

Answer 2

for ankle series an xray is required if

bone tenderness on posterior edge of the distal 6cm of tibia or bone tenderness at the posterior edge of the distal 6cm of the fibula or inability to bear weight for 4 steps both immediatley and at time of examination

Question 3

what do the ottawa ankle rules tell us? about mid zone fractures?

Answer 3

x ray required if there is any pain in mid zone at
navicular
bone tenderness at the 5th metatasle
or the inability to weight bear for 4 consecutive steps at the tome of injury and examination

Question 4

when do you need to use clinical judegement for ottawa ankle rules?

Answer 4

pregenancy, unconcious, other distracting injuries, diminished sensations age <18