ICJEM
Intercontinental Journal of Emergency Medicine

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Evaluation of the shetty test to exclude fractures in patients with ankle injury in the emergency department
Abstract
Aims: Ankle sprains are a leading cause of emergency department (ED) admissions. This study aimed to compare the diagnostic performance of the Shetty Test (ST) and Ottawa Ankle Rules (OAR) in excluding fractures among patients with traumatic ankle injuries.
Methods: This prospective study included 216 patients presenting to the ED. The sensitivity, specificity, predictive values, and accuracy of both ST and OAR were calculated and compared against radiographic findings.
Results: Fractures were detected in 55 (25%) patients. For the ST, sensitivity was 96.4%, specificity 61.5%, and accuracy 70.37%. For the OAR, sensitivity was 85.5%, specificity 16.1%, and accuracy 33.80%. ROC analysis showed a significantly higher Area Under the Curve (AUC) for ST (0.794) compared to OAR (0.638) (p < 0.001).
Conclusion: The ST demonstrated superior sensitivity and specificity compared to OAR, suggesting it is a valid and efficient method for determining the necessity of X-rays in ankle injuries.

Keywords : Shetty test, ankle injury, ottawa ankle rules, emergency medicine

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Article available in :
Volume 4, Issue 2, 2026
Page : 34-38
https://doi.org/10.51271/ICJEM-0075
Article Information
Received : 12 Mar 2026
Accepted : 08 Nis 2026
Published : 04 Haz 2026
Corresponding Author :

Fevzi Yılmaz: Department of Emergency, Antalya Training and Research Hospital, Antalya, Turkiye

[email protected]
Citation : Demirel C, Yılmaz F, Köse Ö, et al. Evaluation of the Shetty test to exclude fractures in patients with ankle injury in the emergency department. Intercont J Emerg Med. 2026;4(2):34-38. doi:10.51271/ICJEM-0075

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