A 43-year-old female was in a bicycling accident and complains of severe pain of the right foot. The patient limps into the emergency room. On physical examination, there is no point tenderness over the medial or lateral ankle malleolus
A. Yes, there is tenderness over the fifth metatarsal
B. No, there is not tenderness over the navicular bone
C. Yes, the patient cannot bear weight on the foot
D. A and C
ANS: D
Foot Rule: Order film if one of the following is met:
Inability to bear weight for four steps (both immediately and in emergency department)
Bone tenderness at navicular or base of fifth metatarsal
Sensitivity = 100%
Specificity = 79%
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