Which imaging modalities are recommended for confirming an ankle fracture in primary care?

In primary care, the recommended imaging modality to confirm an ankle fracture is an X-ray, guided by the use of the Ottawa ankle and foot rules to determine the necessity of imaging in people over 5 years old with suspected ankle fractures. This clinical decision rule helps to identify patients who require an X-ray to confirm the diagnosis. No other imaging modalities are routinely recommended for initial confirmation of ankle fractures in primary care settings.