From: Review for the generalist: evaluation of pediatric foot and ankle pain
An ankle x-ray series is only necessary if there is pain in the malleolar zone and any of the following: |
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1. Bone tenderness at the posterior edge or tip of the lateral mallelous, or |
2. Bone tenderness at the posterior edge or tip of the medial mallelous, or |
3. Inability to weight bear both immediately and in the emergency department |
A foot x-ray series is only necessary if there is pain in the midfoot zone and any of the following: |
1. Bone tenderness at the base of the 5th metatarsal, or |
2. Bone tenderness at the navicular bone, or |
3. Inability to weight bear both immediately and in the emergency department |