Pediatrics Low Risk Ankle Rule

Ankle Rules

If a child with an ankle injury has a low-risk examination, involving tenderness and swelling isolated to the distal fibula and/or adjacent lateral ligaments distal to the tibial anterior joint line, ANKLE X-RAY MAY NOT BE NECESSARY to further exclude a high-risk injury. (Sensitivity 100% (95% CI 85.4% to 100%), Specificity 53.1% (95% CI 48.1% to 58.1%))

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A&Edepartment