Acute foot trauma? – #orderwhat #footpain @AFPjournal @PCareProgress @AANP_NEWS @AAPAorg
Meet Ottawa Rules or not neurologically intact  => Xray
Concern for Lisfranc injury => Weight bearing Xray, if able or MRI foot
Does not meet Ottawa Rules => No study indicated
X-rays negative and concern for tendon injury or dislocation => MRI foot

Penetrating trauma and concern for foreign body => X-ray, then US if needed 

As always, please refer to the source Appropriateness Criteria created by the American College of Radiology, here.
Educational purposes for licensed providers.

Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.

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