CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(05): 620-624
DOI: 10.1055/s-0040-1702957
Artigo Original
Trauma

Application of the Ottawa Protocol by Medical Students and Orthopedic Residents on Ankle Sprains at a Trauma Hospital[*]

Article in several languages: português | English
José Marcos Lavrador Filho
1  Departamento de Ortopedia e Traumatologia, Hospital do Trabalhador, Curitiba, PR, Brasil
,
1  Departamento de Ortopedia e Traumatologia, Hospital do Trabalhador, Curitiba, PR, Brasil
,
Alexandre Roberto Roman Coelho
2  Departamento de Ortopedia e Traumatologia, Universidade Federal do Paraná, Curitiba, PR, Brasil
,
Daniel Kyubin Cho
2  Departamento de Ortopedia e Traumatologia, Universidade Federal do Paraná, Curitiba, PR, Brasil
,
João Luiz Vieira da Silva
2  Departamento de Ortopedia e Traumatologia, Universidade Federal do Paraná, Curitiba, PR, Brasil
,
3  Departamento de Ortopedia e Traumatologia, Clínica de Fraturas e Ortopedia XV, Curitiba, PR, Brasil
› Author Affiliations

Abstract

Objective To verify the applicability and agreement of the Ottawa ankle rules applied by medical students and orthopedic residents in a tertiary trauma service thus validating the Ottawa protocol for use on Brazilian soil.

Prospective This was a prospective study, conducted in a tertiary hospital, including all patients with acute torsial trauma of the tibiotarsal joint. The patients underwent ankle and/or foot radiographs, and the questionnaire with the Ottawa ankle rules was applied by academics and, subsequently, by residents. The radiographs were evaluated by on-call orthopedists and specialist in foot and ankle, and the expert opinion was considered the gold standard for analysis.

Results Two hundred and sixty-three patients were evaluated, and, after application of the established inclusion criteria, 226 cases remained for evaluation. The sensitivity to detect lesions and negative predictive value (NPV) was 100%. The most sensitive test with higher NPV for both academics and residents was palpation of the lateral malleolus. The study presented potential for a reduction of 30% in the total number of tests requested.

Conclusion The data showed applicability and agreement between academics and residents, which allows for the validation of the Ottawa protocol in emergency care in Brazil.

* Work developed in the Orthopedics and Traumatology Service of the Hospital dos Trabalhadores, Curitiba, PR, Brazil.




Publication History

Received: 13 June 2019

Accepted: 29 November 2019

Publication Date:
22 April 2020 (online)

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil