Review of ottawa ankle rules

• Limitations: only considers 5th metatarsal injury so calcaneal fractures, and forefoot injuries can be missed

Review of Fractures

• If there is a medial malleolus fracture suspect other injury to ligaments, or fibia

Achilles tear

• thomson test (no contraction on squeezing of the calf
• clinical diagnosis but ultrasound (SMH has them 8-4 mon-fri)
• Cast in equinas or heel boot with heel lift

Mechanism, leaning back on bar stool with foot caught - LisFrank

• between tarsal and metatarsal joint
• high morbidity

• If high suspicion consider foot CT

Ankle Inversion mechanism - proximal 5th metatarsal fracture