ACR appropriateness criteria acute trauma to the ankle

Timothy Mosher, Mark J. Kransdorf, Ronald Adler, Marc Appel, Francesca D. Beaman, Stephanie Bernard, Michael Bruno, Molly E. Dempsey, Ian Blair Fries, Viviane Khoury, Bharti Khurana, Catherine C. Roberts, Michael J. Tuite, Robert J. Ward, Adam C. Zoga, Barbara N. Weissman

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Acute ankle injuries are frequently diagnosed and treated in emergency departments and outpatient clinics. Recent evidence-based clinical treatment guidelines and systematic review of economic analyses support the use of 3-view (anteroposterior, lateral, and mortise) radiographic evaluation of patients meeting the criteria of the Ottawa ankle rules. Cross-sectional imaging has a limited secondary role primarily as a tool for preoperative planning and as a problem-solving technique in patients with persistent symptoms and suspected of having occult fractures. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)221-227
Number of pages7
JournalJournal of the American College of Radiology
Issue number3
StatePublished - Mar 1 2015

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging


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