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Home Acute Trauma to the Ankle

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Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Ankle trauma, up to 3 weeks after injury, no exclusionary criteria, point tenderness over malleolus or talus or calcaneus, initial imaging

3191901

Radiography ankle

<0.1 mSv
☢

<0.03 mSv [ped]
☢

Usually appropriate

US ankle

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI ankle without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI ankle without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT ankle with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT ankle without and with IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

CT ankle without IV contrast

<0.1 mSv
☢

0.03-0.3 mSv [ped]
☢☢

Usually not appropriate

Bone scan ankle

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate