ABSTRACTS FOR RODERICK LITTLE PRIZE SESSION
Abstracts for Roderick Little Prize Session, Thursday 17 September 16.45–18.15, Great HallUltrasonography in the diagnosis of ankle and foot fractures presenting to the emergency department
Manchester Royal Infirmary
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Introduction
Foot and ankle injuries are common in the emergency department (ED).1 Of those which require radiographs in accordance with the Ottawa Foot and Ankle Rules, approximately 22% have a fracture.2 In the last decade, ultrasound has been developing as a tool for emergency musculoskeletal assessment; it is inexpensive, rapid and visualises soft tissue and bony structures.
Methods
This diagnostic cohort study examined whether ultrasound could detect acute bony and non-bony foot and ankle injuries. Ottawa Rules positive patients over 16 years without obvious dislocation/compound fracture were eligible. An ultrasound scan (USS) for bony injury was performed blind to radiograph findings by a member of the ED. Patient management was according to radiograph. Significant fractures were defined as a breadth greater than 3 mm (as per the Ottawa Foot and Ankle Rules study group).3 All radiographic reporting was conducted blind
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