A 25-year-old man sustains an inversion injury to his right ankle while playing football. He is unable to weight-bear immediately after the injury. On...

Question

A 25-year-old man sustains an inversion injury to his right ankle while playing football. He is unable to weight-bear immediately after the injury. On examination, there is marked swelling and tenderness over the lateral malleolus and anterior talofibular ligament. According to the Ottawa Ankle Rules, which finding necessitates an ankle X-ray?

Accepted Answer

Inability to weight-bear for 4 steps immediately and at presentation

Answer

Tenderness over the medial malleolus only

Answer

Tenderness over the navicular bone

Answer

Tenderness at the base of the 5th metatarsal

Answer

Pain on ankle dorsiflexion

mrcem sba MCQ (SBA): Ankle Injury Assessment (Ottawa Rules)