What is Bone Radiography? X-ray imaging is the fastest and easiest way for a physician to view and assess broken bones. At least two films are taken of a bone, and often three films if the problem is around a joint (knee, elbow, or wrist). X-rays also play a key role in orthopedic surgery and the treatment of sports injuries. What are some common uses of the procedure? Probably the most common use of bone radiographs is to assist the physician in identifying and treating fractures. X-ray images of the skull, spine, joints, and extremities are performed every minute of every day in hospital emergency rooms, sports medicine centers, orthopedic clinics, and physician offices. Images of the injury can show even very fine hairline fractures or chips, while images produced after treatment ensure that a fracture has been properly aligned and stabilized for healing. Bone x-rays are an essential tool in orthopedic surgery, such as spinal repair, joint replacements, or fracture reductions. How should I prepare for the procedure? There is no special preparation required for most bone radiographs. Once you arrive, you may be asked to change into a gown before your examination. You will also be asked to remove jewelry, eyeglasses, and any metal objects that could obscure the images, since those show up on x-rays and may block the bones. Women should always inform their doctor or x-ray technologist if there is any possibility that they are pregnant. How is the procedure performed? The technologist positions the patient  on the examination table, places a flat holder (cassette) under the table in the area of the body to be imaged. Sandbags or pillows may help the patient hold the proper position. Then the technologist goes to a small adjacent room and asks the patient to hold very still without breathing for a few seconds. The radiographic equipment is activated, sending a beam of x-rays through the body to expose the film. The technologist then repositions the patient for another view, and the process is repeated. Usually, a bone exam takes less than 15 minutes.