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-RAYÂ 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%))
