CAMRT Radiography Practice Exam

When dealing with a suspected hip injury, what should an MRT do with the patient positioned on a backboard with the injured leg lying laterally?

1. Request that pain medication be given prior to rotating the leg

2. Medially rotate both feet and lower legs 15 to 20 degrees

3. Perform the exam without repositioning the leg

4. Ask the emergency physician if the leg can be rotated

The correct answer is: Perform the exam without repositioning the leg

In a situation involving a suspected hip injury, it is crucial to maintain the stability of the injured area to prevent further damage. When the patient is positioned on a backboard with the injured leg lying laterally, performing the exam without repositioning the leg is the most appropriate action. This approach minimizes any movement of the hip joint or surrounding structures that could exacerbate the injury. Maintaining the leg in its current position is critical since rotating the leg, whether medially or laterally, could lead to increased pain and further injury to the ligaments or soft tissues around the hip joint. Therefore, a careful and gentle assessment of the injury can be carried out without the risk associated with repositioning. This decision aligns with the principles of patient safety and comfort in emergency care. In scenarios with suspected fractures or severe injuries, unnecessary manipulation should be avoided unless specifically directed by a physician. Thus, keeping the leg in its initial position is the safest course of action for both the patient’s health and the effectiveness of the diagnostic process.