How should fracture imaging be conducted?

Fracture imaging should be conducted in two views at right angles to ensure a comprehensive assessment of the fracture. This approach is essential because it allows for the evaluation of the fracture in different dimensions, helping to identify any displacement, angulation, or associated injuries that may not be apparent in a single view. The two views typically include anteroposterior (AP) and lateral projections, which provide a clearer picture of the fracture morphology and assist in planning for appropriate treatment.

Relying on only one view can miss critical details about the fracture, leading to inadequate management. Additionally, immediate surgical intervention may not always be necessary and imaging plays a crucial role in determining the best course of action. It is also important to obtain imaging unless clear clinical indications suggest otherwise; for example, if a fracture is suspected based solely on physical exam findings. Therefore, conducting imaging in two views at right angles is the best practice in fracture assessment.