Diagnostic accuracy of the Ottawa ankle rule to exclude fractures in acute ankle injuries in adults: a systematic review and meta-analysis - BMC Musculoskeletal Disorders

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Diagnostic accuracy of the Ottawa ankle rule to exclude fractures in acute ankle injuries in adults: a systematic review and meta-analysis - BMC Musculoskeletal Disorders
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The Ottawa Ankle Rule can confidently predict ankle fractures when they exist with high sensitivity, reducing unnecessary radiographic referral – according to a systematic review and meta-analysis published in BMCMusculoSkeletDisord.

]. Also, our search strategy excluded non-English articles and conference abstracts, which could have influenced the results slightly. Thirdly, a potential source of heterogeneity is the threshold effect in meta-analyses. The spearman correlation coefficient in our analysis confirmed that there is no threshold effect related to heterogeneity; however, we reported a heterogenous effect across different studies with a Chi-square ranging from 81.7% to 99.7%.

This is surprising given its utilisation worldwide and the proliferation of research generally. This may be reflective of a much lower uptake than anticipated or a publication bias or other, unknown reasons. It does suggest, however, that further high-quality research in ongoing use of this tool is warranted.

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