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In this video, Im going to demonstrate the Ottawa ankle rules to rule out fractures of the ankle and mid foot in an acute situation. Hi, and welcome back to Physiotutors de Ottawa ankle Rules have been developed in order to reduce the needs of radiographs after an acute Trauma. review by Buckman et Al. from the Year 2003 Rated the sensitivity between 96.4 to 99.6 percent and the specificity at 26.3 to 47.9 percent. So if the Ottawa Ankle rules are negative, chances of a fracture are low. Now lets imagine the following situation You are a physiotherapist at a sporting event and you see an athlete Getting injured at the ankle. you can use the following sequence to rule out an ankle fracture. first palpate for tenderness on the posterior edge of the Lateral and Medial Malleolus start distally and move six centimeters upwards. Then palpate for pain or tenderness over the navicular bone and fifth metatarsal. For the last criterion ask the patients to walk four consecutive steps It doesn