Ottawa Ankle Rules

Ankle sprains and fractures are common (Fong et al., 2007) and often have a similar clinical presentation in the acute phase. Nevertheless, it is important to distinguish between the two, as their management will differ (Hulsker et al., 2011; Kerkhoffs et al., 2012; Matharu et al., 2010). Imaging—and more specifically X-ray—is the reference examination for differentiating an ankle sprain from a…