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Prospective survey to verify the Ottawa ankle rules
  1. Brendan Mccann
  1. Specialist Registrar, Accident and Emergency Department, Royal University Hospital, Prescot Street, Liverpool L7 8XP

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    Editor,—In their study to verify the Ottawa ankle rules Perry et al point out “the potential dangers of rigidly adhering to decision rules”.1 The study discovered that four malleolar fractures would have been missed had the guidelines (per the Ottawa ankle rules2) been applied—that is, these patients would not have had radiography.

    The data from the study were derived from the emergency department ankle “stamper”, which comprises 12 …

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