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Which clinical features prompt radiographs for extremity injuries?

Localized bone tenderness, deformity, swelling, and inability to bear weight

In extremity injuries, radiographs are prompted by signs that strongly suggest a fracture or dislocation. Localized bone tenderness points to a possible bone injury; deformity indicates misalignment of the bone or joint; swelling reflects underlying tissue or bone damage; and inability to bear weight signals a significant injury affecting limb stability. When these findings appear together, imaging is the most reliable way to assess for fracture and guide treatment. The other scenarios either lack these specific red flags or involve conditions (like chronic joint pain without acute injury) where immediate radiographs are not indicated.

Only tenderness without deformity

Pain with full weight bearing and no swelling

Chronic joint pain without acute injury

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