To check for axial rotation in a long bone fracture, you can perform a clinical examination by assessing the alignment of the limb. This can involve comparing the position of the injured limb with the uninjured limb, looking for any signs of rotation, such as the position of the toes or the direction of the knee. Additionally, you can apply gentle rotational forces at the fracture site while observing for any abnormal movement or pain that may indicate rotational malalignment. Radiographic imaging, such as X-rays, can also be used to assess the alignment and rotation of the fractured bone.
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