Table 1 Ottawa Ankle Rules [3].

A series of Xrays films of the ankle and foot is required if:

1. Patient not able to walk 4 steps or more, directly after trauma or in the examining room

2. Bone tenderness posterior edge lateral malleolus (most distal 6 cm)

3. Bone tenderness posterior edge medial malleolus (most distal 6 cm)

4. Bone tenderness base fifth metatarsal bone

5. Bone tenderness navicular bone