{"id":918,"date":"2014-12-17T11:29:58","date_gmt":"2014-12-17T11:29:58","guid":{"rendered":"http:\/\/library.sath.nhs.uk\/intelligence\/?p=918"},"modified":"2016-10-31T13:25:59","modified_gmt":"2016-10-31T13:25:59","slug":"minimising-negative-ankle-and-foot-x-rays-in-the-emergency-department-are-the-ottawa-ankle-rules-good-enough-2014","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2014\/12\/17\/minimising-negative-ankle-and-foot-x-rays-in-the-emergency-department-are-the-ottawa-ankle-rules-good-enough-2014\/","title":{"rendered":"Minimising negative ankle and foot X-rays in the Emergency Department-Are the Ottawa ankle rules good enough? (2014)"},"content":{"rendered":"<p> <strong>Type of publication:<\/strong><br \/> Journal article<\/p>\n<p><strong>Author(s):<\/strong><br \/> *Crosswell S, *Leaman A, *Phung W<\/p>\n<p><strong>Citation:<\/strong><br \/> Injury, 12 2014, vol.\/is. 45\/12(2002-4), 0020-1383;1879-0267 (2014 Dec)<\/p>\n<p><strong>Abstract:<\/strong><br \/> OBJECTIVES: To review fracture rates in patients who had X-rays of either the ankle or foot or both in the Emergency Department of a district hospital.METHOD: A retrospective review of 2589 Emergency Department patients who had X-rays of the ankle or foot or both over a 12-month period.RESULTS: There were 1199 ankle X-rays taken of which 193 (16%) showed a significant fracture. There were 1081 patients who had a foot X-rayed of which 165 (15%) showed a significant fracture. Younger patients had more X-rays but older patients were more likely to have a fracture. There were 309 patients who had an ipsilateral ankle and foot X-rayed at the same time, and of these 42 (14%) showed one fracture and just two (0.6%) showed a significant fracture of both ankle and foot.CONCLUSIONS: The approach to X-raying ankle and feet in this study is probably widespread, and Ottawa Ankle Rules still seem to be of limited use in diagnosing fractures. This low yield of positive X-ray could be accepted or a more sophisticated ankle rule introduced. Copyright 2014 Elsevier Ltd. All rights reserved.<\/p>\n<p><strong>Link to more details or full-text: <a href=\"\" target=\"_blank\"><\/a><\/strong><\/p>\n<p> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Journal article Author(s): *Crosswell S, *Leaman A, *Phung W Citation: Injury, 12 2014, vol.\/is. 45\/12(2002-4), 0020-1383;1879-0267 (2014 Dec) Abstract: OBJECTIVES: To review fracture rates in patients who had X-rays of either the ankle or foot or both<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2014\/12\/17\/minimising-negative-ankle-and-foot-x-rays-in-the-emergency-department-are-the-ottawa-ankle-rules-good-enough-2014\/\">Read more <span class=\"screen-reader-text\">Minimising negative ankle and foot X-rays in the Emergency Department-Are the Ottawa ankle rules good enough? (2014)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[458,304,225,305],"class_list":["post-918","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-458","tag-ankle","tag-emergency-care","tag-medical-imaging"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/918","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=918"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/918\/revisions"}],"predecessor-version":[{"id":1472,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/918\/revisions\/1472"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=918"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=918"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=918"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}