PT  - JOURNAL ARTICLE
AU  - C Libetta
AU  - D Burke
AU  - P Brennan
AU  - J Yassa
TI  - Validation of the Ottawa ankle rules in children.
AID  - 10.1136/emj.16.5.342
DP  - 1999 Sep 01
TA  - Journal of Accident & Emergency Medicine
PG  - 342--344
VI  - 16
IP  - 5
4099  - http://emj.bmj.com/content/16/5/342.short
4100  - http://emj.bmj.com/content/16/5/342.full
SO  - Arch Emerg Med1999 Sep 01; 16
AB  - OBJECTIVE: To assess whether the Ottawa ankle rules can be used to accurately predict which children with ankle and midfoot injuries need radiography. METHODS: Prospective study with historical control group of all children aged 1-15 years presenting to Sheffield Children's Hospital accident and emergency department with blunt ankle and/or midfoot injuries during two five month periods before and after implementation of the Ottawa ankle rules. RESULTS: In the study group 432 out of 761 (56.76%) patients received radiography compared with 500 out of 782 (63.93%) in the control group. This was a statistically significant reduction in radiography rate of 7.2% (95% confidence interval 2.3% to 12.1%, p <0.01). The sensitivity of the Ottawa ankle rules was 98.3% and the specificity 46.9%. There was no increase in the number of missed fractures (one in each group). CONCLUSION: The Ottawa ankle rules can be applied in children to determine the need for radiography in ankle and midfoot injuries. Their implementation leads to a reduction in the radiography rate without leading to an increase in the number of missed fractures.