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Paper Chase 3 - Just the Ankle Please

Sanjay Arora, MD and Mike Menchine, MD
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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EM:RAP 2017 May Written Summary 839 KB - PDF

For patients with ankle fractures, obtaining reflexive additional x-rays above or below the joint is very low yield.

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Xander Merboo -

Good article, great idea.

As an asterisk, my clinical experience is that this doesn't apply to our military patients. I've covered ortho trauma at military medical centers where we see the sequelae of parachute airborne operations [lawn dart ops] that lead to profound axial LE injuries with frank/known ankle fx and occult proximal fx.

FWIW

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