According to Ottawa ankle rules, which of the following is a criterion prompting radiographs?

According to Ottawa ankle rules, which of the following is a criterion prompting radiographs?

• A. Inability To Bear Weight For Four Steps
• B. Pain With Dorsiflexion Of The Foot
• C. Tenderness At Navicular
• D. Tenderness At Distal Tibia

Answer: (A)

Ottawa ankle rules focus on two simple checks to decide if X-rays are needed after an acute ankle injury: cannot bear weight for four steps, and bone tenderness at specific ankle locations. The ability to bear weight for four steps is a straightforward, objective trigger that clearly indicates imaging is warranted, which is why this choice fits as the best answer here. Pain with dorsiflexion isn’t part of the Ottawa criteria, and tenderness at the navicular relates to the foot radiograph rule rather than the ankle rule. Tenderness at the distal tibia is indeed a bone-tender criterion in the ankle version of the rule, but the four-step weight-bearing criterion is the most direct and commonly emphasized trigger.

Ottawa ankle rules focus on two simple checks to decide if X-rays are needed after an acute ankle injury: cannot bear weight for four steps, and bone tenderness at specific ankle locations. The ability to bear weight for four steps is a straightforward, objective trigger that clearly indicates imaging is warranted, which is why this choice fits as the best answer here.

Pain with dorsiflexion isn’t part of the Ottawa criteria, and tenderness at the navicular relates to the foot radiograph rule rather than the ankle rule. Tenderness at the distal tibia is indeed a bone-tender criterion in the ankle version of the rule, but the four-step weight-bearing criterion is the most direct and commonly emphasized trigger.