Ankle Pain

Question 1

utility of CT imaging in acute management of ankle sprains

Answer 1

Not a first line diagnostic test. Would order XR first. Order only if there’s a suspected fracture that is not picked up on XR (osteoporosis) or used to assess known fractures - complex or comminuted fractures)

Question 2

when do we order a MRI for ankle pain?

Answer 2

used for identifying ligamentous disruptions and it’s useful for evaluating pts who have persistent ankle instability and fail to improve as expected

Question 3

What does Ottawa ankle rules do?

Answer 3

help determine which pts are likely to have a fracture and need additional imaging has specificity that approaches 100% developed in adults.

Question 4

Ottwa Ankle rules (chart)

Answer 4