The Ottawa Ankle Rules | Ankle Fracture Clinical Prediction Rule

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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Ottawa Ankle Rules are used as a clinical prediction rule to rule out an ankle fracture in an acute situation without the need for an x-ray.
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[@thabitpulak]

that idubbbz content cop intro music! love it haha

[@Physiotutors]

Classic

[@dylan15295]

Thank you so much, this really helps with my study as (hopefully incoming) physical therapist

[@jlim200]

Thanks for this. Very concise, this is how all these videos should be.

[@Physiotutors]

Thank you so much! We try to deliver in the content in a format that's concise and consistent across all videos

[@africanbeautifulgirl]

Thank you so much for simplifying this 🙏🏿🙏🏿🙏🏿

[@danbruse3490]

What is the test sign with the 4 step walking test to determine if it is positive or negative? I don't believe the video gave that info?

[@kickasscorm]

Can I ask, should the reaction of the patient be pain, or a protrusion of the bone(s)? What is the signifying and defining thing to say it is broken?

[@anneliesmolenaar3944]

Thanks for this informative video, really liked the explanation in the ebook!

[@Physiotutors]

Glad it was helpful!

[@evrokrem]

Amazing video. Thank you very much!

[@sweetyrajan1396]

simple and clear

[@Physiotutors]

thanks for the good feedback! We appreciate it!

[@rasikarane02]

Would it be light palpation? And what type of pain pt would experience?

[@shutty11]

Brilliant video guys but can you just clarify the following please. At the end of the video you state if 1 from 3 is positive and if 0 from 3 positive this indicate ...... however arent we looking at more than 3 items here? Am i missing something?

[@limpnormal4219]

They combined some steps together

[@munotv9041]

How does this pain pass and how long does it last?

[@macreflex1]

Very effective thank you

[@trongnguyendinh3628]

yuhh.awesome bro but u can show me another test special in ankle like drawer test,talar tilt test,talus choc test..

[@Physiotutors]

Use the search function

[@meego2]

Hi what constitutes a negative for the criterions? No pain?

[@Physiotutors]

Yes, no pain and the ability to walk 4 consecutive steps.

[@Physiotutors]

+meego2 exactly, no pain/tenderness upon palpation

[@Dubeautiful]

So, just to clear something up. 4 consecutive steps without pain. So what happens if a patient completes 4 consecutive steps fully weight bearing with pain yet when the patient is partial weight bearing they have no pain?
Cheers

[@dr.sameenashaikh5500]

Y'all are awesome!

[@dernwentheshy8446]

Great video.

[@Physiotutors]

Thanks Benedikte 👍🏼

[@shrouqawad5468]

thank u so much for making this clear for us :)

[@johanneovergaardwessels8100]

The study said that there is a sensitivity of 96-99% and a specificity of 26-47%, and then you make the conclusion, that "if the ottowa ancle rules are negativ, chances of a fracture is low", and that is not korrekt.
For that to be true, we need a high negativ prediktive value (NPV).

[@Physiotutors]

Hi Johanne, the problem with the NPV is that it depends on the prevalence and to exclude a fracture you'd want to end up with a very low value. Best thing to do is to take the negative likelihood ratio, which is 0,15 (worst case) and 0,02 (best case) if we calculate it from the sensitivity and specificity.
So if we assume a prevalence for a fracture of 15% and calculate with the likelihood, we'll end up with a chance of a fracture somewhere between 0,35% - 2,5%.

[@maybehandledeeznutz]

i came here after martinelli twisted his knee. thank goodness it isnt serious.

[@jsamdog]

If they limp but are able to complete 4 or more steps, its negative right?

[@Physiotutors]

Yes, the should complete four step. Even with a limp

[@طبيعى]

nice Andreas

[@Physiotutors]

+white flower thanks !

[@david414ify]

For the Ottawa ankle rules, you forgot to mention to palpate the navicular bone too for pain which is also indicatif of an ankle fx, otherwise awesome video!

[@jsamdog]

They did mention it. He said palpate at the navicular bone and the fifth metatarsal . 1:06

[@david414ify]

JDot876 Oops I missed it earlier!

[@HonzaZeli94]

he did so

[@royalx99gaming]

People who ate watching this with a hurt ankle
👇

[@hussainalizadeh4894]

Where is it.
What is your address??

[@Physiotutors]

We do not have a physical location

[@ajitpalsinghbharaj5619]

nice t shirt

[@Physiotutors]

Thanks!

[@faisalmh581]

Sir talk to Malayalam video

[@Physiotutors]

Not sure what you mean...

[@faisalmh581]

@@Physiotutors sir Ian Kerala city son only Malayalam medium

[@indikabandaramudiyanselage7774]

Hot guy

[@mevsimyagmur7667]

😂😂 lets do it in Turkey ssk hospitals. Orayı yıkarlar🥸