Table 5

Clinical decision rules in acute lateral ankle sprain67 73 74 78 214–216

Ottawa ankle rulesBernese ankle rules
Pain on the dorsal side of one or both malleoliIndirect fibular stress
Palpation pain at the basis of the metatarsal bone VDirect medial malleolar stress
Palpation pain of the navicular boneCompression stress of the midfoot and hindfoot
Inability to walk at least four steps
Sensitivity 86%–99%; specificity 25%–46%Sensitivity 69%–86%; specificity 40%–45%
PPV 24%–48%; NPV 97%–99%
Reproducibility 45%Reproducibility 48%