Maybe I'm misunderstanding what you mean by "axial injury", but a paper in
our very own EMJ reports that half of patients with grade 1 or 2 lateral
ankle sprains were kept awake at night by the pain (Emerg Med J 2001;
18:46-50, or for those with a paperless office
http://emj.bmjjournals.com/cgi/content/full/18/1/46#SEC2)
Chris Kirke
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]]On Behalf Of Rowley Cottingham
Sent: 09 March 2003 07:29
To: [log in to unmask]
Subject: Re: Ankle injuries
One of the most useful clinical questions with an axial injury that presents
late is, "Is it keeping you awake
at night?" Yes= fracture. Nothing in the literature, but it has a remarkably
high specificity.
> I have noticed exactly the same phenomenon, but have seen no literature
> on
> it.
>
> Philip Belsham
>
> -----Original Message-----
> From: Ray McGlone [mailto:[log in to unmask]]
> Sent: 21 February 2003 09:36
> To: [log in to unmask]
> Subject: Ankle injuries
>
>
> It's been my clinical impression over the years that patients attending
> with
> ankle injuries over 24 hrs are more likely to need an X ray using the
> Ottawa
> guidelines.
Best wishes,
Rowley Cottingham
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http://www.emergencyunit.com
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