Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Thursday, December 26, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
 Return to Search Results
ID 20793
  Title Modified Ottawa ankle rules as a decision aid for upper extremity injury: Report of two cases [case report]
URL http://dx.doi.org/doi:10.1016/j.clch.2009.08.003
Journal Clin Chiropr. 2009 Jun;12(2):74-79
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: The published guidelines for radiographic examination of lower extremity injuries are known as the ‘Ottawa rules’. These rules, initially published in 1992, were established to decrease the amount of unnecessary radiographs. False negatives when following the Ottawa rules are low and have reduced the number of unnecessary x-rays. In clinical settings, the rules and their associated algorithms are important as an aid for determining course of care. This paper documents two cases where adaptation of the Ottawa rules suggested the need for upper extremity radiography. Subsequent x-rays revealed the presence of a fracture in both cases.

Clinical features: The first case was an 8-year-old girl who was struck on the arm while playing. She experienced pain but refused to let anyone examine her arm. The second case was a 24-year-old male who fell 5 days earlier and landed on his right hand. The application of the adapted Ottawa rules suggested the potential for fracture, which was subsequently confirmed by radiographs.

Intervention and outcome: Radiographs confirmed the fracture and both patients were referred for orthopedic consultation and treatment.

Conclusion: These two cases, where the clinical decision making for a wrist injury was guided by an adaptation of the Ottawa ankle rules, highlight the lack of guidelines for upper extremity x-rays following injury and suggest that the Ottawa rules could form the basis for such guidelines. Further studies are required to demonstrate their reliability and validity for everyday clinical use.

This abstract is reproduced with the permission of the publisher. Full text is available by subscription.
   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips

:)