Ottawa Rules DSA

Question 1

Ankle Sprain Grading: grade 1

Answer 1

minimal tenderness and swelling. minimal impairment. microscopic collagen fiber tearing. Tx: weight bear as tolerated, PT

Question 2

Ankle Sprain Grading: grade 2

Answer 2

moderate tenderness and swelling, decreased ROM, possible instability. moderate impairment. complete collagen fiber tears, but ligament NOT completely torn. Tx: immobilize with air splint, PT.

Question 3

Ankle Sprain Grading: grade 3

Answer 3

significant swelling and tenderness, instability. severe impairment. complete tear or rupture of ligament. Tx: immobilization, PT, surgery maybs

Question 4

Inversion ankle sprain = what ligament?

Answer 4

calcaneofibular

Question 5

eversion ankle sprain = what ligament?

Answer 5

deltoid

Question 6

high ankle sprain = what ligament?

Answer 6

syndesmotic tear

Question 7

When should you order an xray if there is pain in the MALLEOLAR REGION?

Answer 7

order an ANKLE xray if the pt has any of the following:

• bone tenderness at post edge of distal 6cm or the tip of LATERAL MALLEOLUS
• bone tenderness at post edge of distal 6cm or tip of MEDIAL MALLEOLUS
• unable to bear weight for 4steps

Question 8

When should you order an xray if there is pain in the MIDFOOT REGION?

Answer 8

order a FOOT xray if the pt has any of the following:

• navicular bone tenderness
• base of 5th metatarsal bone tenderness
• unable to bear weight for 4steps

Question 9

Who do you apply the ottawa rules to?

Answer 9

only people over age18

Question 10

When should you order an xray if there is KNEE pain?

Answer 10

any of the following:

• > 55yo
• isolated patellar b tenderness
• fibular head tenderness
• can’t flex knee to 90deg
• can’t bear weight for 4steps