Ankle

Question 1

Ottawa Ankle Rules

Answer 1

Pain in malleolar or midfoot area and Either:
1. Inability to bear weight immediately after injury AND in the ED (taking 4 steps)

OR

2. Bone tenderness at the posterior edge of tibia or fibula or tip of medial or lateral malleolus
3. Bone tenderness at the navicular or proximal base of 5th metatarsal

Question 2

Manual Therapy and Exercise for Acute Lateral Ankle Sprain

Answer 2

1. Symptoms worse when standing
2. Symptoms worse in evening
3. Navicular drop > 5.0 mm
4. Distal tibiofibular joint hypomobility