A patient has a suspected fracture to the left tibia/fibula and is under spinal precautions. Which protocol would be implemented?

AP and mediolateral
AP only
AP and lateromedial
minimum 3 view protocol


AP and lateromedial

Rationale: Two views 90 degrees apart are required for trauma. The patient under spinal precautions will be unable to ambulate or roll into necessary positions. AP will be acquired and then a cross-table or horizontal beam approach will be necessary for the lateral. Placement of the grid should be on the medial surface of the patient's leg and the beam directed lateral to medial.

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