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Section 1
For Health Professionals
NPS Topic catalogues
For Consumers
Imaging plays an important role in modern medicine. Modern imaging techniques – including X-rays, ultrasound, CT scans and MRI – can show structures inside your body in great detail.
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Acute Ankle and Knee Injuries
Insights
Key points
- Patient history and physical examination are as accurate as imaging for diagnosing acute ankle and knee injuries.
- Apply the Ottawa Ankle Rules or Ottawa Knee Rules to rule out fracture.
- Only consider imaging if the results will change your management of the injury
- Conservative management is based on RICE and no HARM in the first days after injury.
- If physical examination is limited because of pain and swelling, provide conservative management and re-evaluate 4 days after injury for ankle sprains (lateral ligament) and 1–2 weeks after injury for ACL tears.
- Consider referral to an orthopedic specialist if symptoms persist, despite conservative management.