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Lateral (a) and medial (b) views of the ankle showing the regions of Ottawa ankle rules.a) Bone tenderness at the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus; b) Bone tenderness at the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus. Omar A. Al-Mohrej, and Nader S. Al-Kenani EFORT Open Rev 2016;1:34-44 © 2016 The author(s)