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What is the correct procedure for stress views of the ankle?

  1. The technologist performs the manipulation

  2. The patient is asked to perform the manipulation

  3. The referring physician performs the manipulation

  4. A radiologist performs the manipulation

The correct answer is: The referring physician performs the manipulation

The correct procedure for stress views of the ankle involves the manipulation being performed by the referring physician. Stress views are specialized radiographs that are taken to evaluate the stability of the ankle joint under stress, typically when assessing for ligament injuries. This procedure requires the physician to carefully apply manual stress to the joint to recreate the conditions under which an injury might have occurred, while ensuring the patient's safety and comfort. It is essential for the physician to perform the manipulation because they have the training to assess the patient's condition, determine the appropriate amount of stress to apply, and interpret the results in the context of the patient's overall clinical picture. This ensures that the manipulation is conducted safely and effectively, allowing for optimal imaging of the ankle structures. While it may seem logical for a radiologic technologist or even a radiologist to perform the manipulation due to their expertise, the direct involvement of a physician in this particular context is crucial for accurate diagnosis and management.