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. 2020 Aug;32(4):683-686.
doi: 10.1111/1742-6723.13541. Epub 2020 May 27.

Shetty test in ankle and foot trauma: An emergency department pilot study assessing specificity and sensitivity

David Jovic  1 , David Johnson  1 , Louise Tolmie  2 , Paul Stanier  1 , Rene Hutchins  3
Affiliations

Shetty test in ankle and foot trauma: An emergency department pilot study assessing specificity and sensitivity

David Jovic et al. Emerg Med Australas. 2020 Aug.

Abstract

Objective: To assess the potential impact of the Shetty test over Ottawa ankle foot rules (OAFR) on plain imaging utilisation in the ED.

Methods: Nursing and medical staff assessed both Shetty test and OAFR in ED. All patients received ankle and foot radiographs.

Results: Fifty-four participants were assessed. Shetty test specificity at triage was 0.40 (95% CI 0.25-0.57), compared to OAFR 0.10 (95% CI 0.03-0.24), McNemar's P < 0.01. Shetty test and OAFR sensitivity at triage was 0.92 (95% CI 0.64-0.99), McNemar's P = 1.00.

Conclusion: Shetty test may safely reduce unneeded radiographs in ED. Further research is warranted.

Keywords: Ottawa; Shetty; ankle; foot; fracture.

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References

    1. Barelds I, Krijnen W, van de Leur J, van der Schans C, Goddard R. Diagnostic accuracy of clinical decision rules to exclude fractures in acute ankle injuries: systematic review and meta-analysis. J. Emerg. Med. 2017; 53: 353-8.
    1. Ojeda-Jimenez J, Mendez-Ojeda M, Martin-Velez P, Tejero-Garcia S, Pais-Brito J, Herrera-Perez M. Experience using the Shetty test for initial foot and ankle fracture screening in the emergency department. Rev. Esp. Cir. Ortop. Traumatol. 2018; 62: 343-7.
    1. Shetty V, Wasnik S, Hegde C, Shetty V, Kasture S, Thakur H. The “Shetty test” in ankle injuries: validation of a novel test to rule out ankle fractures. Eur. J. Orthop. Surg. Traumatol. 2013; 23: 831-3.
    1. Stiell I, McKnight R, Greenberg G et al. Implementation of the Ottawa ankle rules. JAMA 1994; 271: 827-32.
    1. Doody O, Hopper M. Imaging of the foot and ankle. Orthopaed. Trauma 2014; 28: 339-49.

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