Petscavage Jonelle, Baker Stephen R, Clarkin Kim, Luk Lyndon
UMDNJ-New Jersey Medical School, University Hospital, Department of Radiology, 150 Bergen Street, C-320, Newark, NJ, 07103, USA.
Emerg Radiol. 2010 Jul;17(4):261-5. doi: 10.1007/s10140-009-0846-2. Epub 2009 Oct 16.
Radiographic series of the foot are often obtained in conjunction with ankle X-rays when the clinical presentation is limited to trauma to the ankle. The Ottawa Ankle and Foot Rules were established in 1992 and serve as reliable guidelines to determine when an ankle or foot series is warranted in patients who have sustained minor ankle and/or foot injury. We retrospectively reviewed radiographic studies of all patients over a period of 18 months who simultaneously had ankle and foot plain radiographs performed for acute complaints limited to the ankle alone. Of the 243 patients who met our inclusion criteria, 55 patients had fractures, 46 in or near the ankle joint, and nine which were located at the base of the fifth metatarsal bone. No fractures or dislocations were noted elsewhere in the foot. All of the fifth metatarsal fractures were evident on adequately performed ankle series. Our findings suggest that films of the foot are not necessary when trauma is limited to the ankle and when an appropriately performed ankle series has been completed.
当临床表现仅限于踝关节创伤时，足部的X线检查通常与踝关节X线检查一起进行。渥太华踝关节和足部规则于1992年制定，是确定在遭受轻度踝关节和/或足部损伤的患者中何时需要进行踝关节或足部X线检查的可靠指南。我们回顾性分析了18个月内所有因仅限于踝关节的急性症状同时进行踝关节和足部平片检查的患者的影像学研究。在符合我们纳入标准的243例患者中，55例有骨折，46例在踝关节或其附近，9例位于第五跖骨基部。足部其他部位未发现骨折或脱位。所有第五跖骨骨折在充分进行的踝关节系列检查中均很明显。我们的研究结果表明，当创伤仅限于踝关节且已完成适当的踝关节系列检查时，足部的X线片并非必要。
