Screening test for whether foot x-rays are indicated in acute mid-foot injuries.
This should not apply to patients with significant trauma, obvious deformity, or patients who are unable to provide reliable history / physical exam. Also, always evaluate for Lisfranc fracture-dislocations by palpating 2nd MTP for tenderness.
Sensitivity 100% for identification of midfoot fractures (95% CI: 83% - 100%).
Shell, IG et al. Decision Rules for the Use of Radiography in Acute Ankle Injuries. JAMA. 1993; 269(9):1127-1132. Text