Ottawa Ankle and Foot Rules
The Ottawa ankle and foot rules give evidence-based advice on who to x-ray.
These state that, for injuries with an inversion mechanism, foot X-rays are only required if there is pain in the midfoot zone and there is either:
- Bone tenderness at C (the base of the 5th MT), or
- Bone tenderness at D (the navicular), or
- Inability to weight bear (four consecutive steps) both immediately and in the ED
