Validation of Ottawa ankle rules protocol in Greek athletes: study in the emergency departments of a district general hospital and a sports injuries clinic

Citation
E. Papacostas et al., Validation of Ottawa ankle rules protocol in Greek athletes: study in the emergency departments of a district general hospital and a sports injuries clinic, BR J SP MED, 35(6), 2001, pp. 445-447
Citations number
16
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
BRITISH JOURNAL OF SPORTS MEDICINE
ISSN journal
03063674 → ACNP
Volume
35
Issue
6
Year of publication
2001
Pages
445 - 447
Database
ISI
SICI code
0306-3674(200112)35:6<445:VOOARP>2.0.ZU;2-J
Abstract
Objective-To validate the Ottawa ankle rules protocol for predicting ankle and midfoot fractures in Greek athletes. Method-A prospective survey in the emergency departments of a district gene ral hospital and a sports injury clinic in Greece over nine months. A clini cal evaluation was made of 122 patients with acute ankle and/or midfoot inj ury, and then radiographs were taken. Results-Nine ankle and eight midfoot fractures were detected. The sensitivi ty of the Ottawa ankle rules protocol in predicting fractures in both the m alleolar and midfoot zones was 100%. The negative predictive value for each of these areas was also 1.0. Specificity was estimated to be 0.3 for ankle fractures and 0.4 for midfoot fractures. Positive predictive values were 0 .16 and 0.28 respectively. A possible reduction of up to 28.7% was found in the need for radiography. Conclusions-Use of the Ottawa ankle rules protocol in evaluating injured Gr eek athletes resulted in 100% sensitivity when performed by orthopaedic res idents or sports medicine doctors, and had the potential to reduce the use of radiography.