Revisiting the Diagnostic Accuracy of Ottawa Ankle Rules for Ankle Fractures: A Systematic Review and Meta-Analysis
Danial Sharifi Razavi, Mohammadali Seiri, Mehrdad Farrokhi · 2026
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Description
Danial Sharifi Razavi, Mohammadali Seiri, and Mehrdad Farrokhi revisit in 2026 how well the Ottawa Ankle Rules spot fractures after ankle injuries. The rules guide clinicians through a short examination meant to spare patients needless X-rays. Past studies agreed on strong sensitivity but reported widely varying specificity, so the team pooled diagnostic accuracy studies from three databases through May 2026.
The pooled sensitivity reached 0.92, while specificity sat much lower at 0.35 across the gathered studies. A negative result cut the chance of fracture to roughly one percent in their worked examples. The authors conclude the rules remain a dependable screen for ruling fractures out, safely trimming unnecessary imaging in emergency care.
Catalog record
| CREATOR | Danial Sharifi Razavi, Mohammadali Seiri, Mehrdad Farrokhi |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25869 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |