Traction radiographs improved interobserver reliability for four of ten questions. With regard to intraobserver variability, responses to two questions were significantly changed. With the addition of traction radiographs, the observation of intra-articular fragments requiring reduction increased from 38.3% to 53.1% (p&lt; 0.05) and the perceived need to order computed tomography for further evaluation decreased from 21.7% to 5.1% (p&lt; 0.001). No other changes reached significance.