1. Radiology Upper Extremity ...

Wrist PA Oblique

Film: 10x12 LW Technique: 55@3 CR: perpendicular to midcarpal area Criteria: Scaphoid and trapezium free of superimposition Open trapeziotrapezoid joint space Open scaphotrapezial joint space

Hand PA

Film: 10x12LW Technique: [email protected] CR: Perpendicular to 3rd MCP Criteria: PA of all digits and metacarpals except first.

Hand PA Oblique

Film: 10x12LW Technique: [email protected] CR: perpendicular to 3rd MCP Criteria: 45 degree rotation laterally

Wrist PA

Film: 10x12LW Technique: 55@3 CR: perpendicular to midcarpal area Criteria: Open radioulnar joint Remember to have patient make a Bear Paw with their hand in order to place the carpals in closer contact with the film.

Wrist Lateral

Film: 8x10CW Technique: 55@3 CR: perpendicular to midcarpal area Criteria: Superimposed metacarpals Superimposed distal ulna and radius

Finger Lateral

Film: 8x10LW Technique: 55@1 CR: Perpendicular to PIP of affected digit Criteria: No superimposition of other digits Open IP and MCP joint spaces Be sure to rotate hand so that the affected finger is closer to the film.

Finger PA

Film: 8x10LW Technique: 55@1 CR: Perpendicular to PIP of affected digit Criteria: Open IP and MCP joint spaces No overlap of bone

Finger PA Oblique

Film: 8x10LW Technique: 55@1 CR: Perpendicular to PIP of affected digit. Criteria: Open IP and MCP joint spaces No superimposition of digits 45 Degree rotation

Thumb PA Oblique

Film: 8x10LW Technique: 55@2 CR: Perpendicular to MCP of 1st digit Criteria: Area of thumb from distal tip to trapezium Open IP and MCP joint spaces

Thumb Lateral

Film: 8x10LW Technique: 55@2 CR: Perpendicular to MCP of 1st digit Criteria: Open IP and MCP joints

Thumb AP

Film: 8x10LW Technique: 55@2 CR: Perpendicular to MCP of 1st digit. Criteria: Area of thumb from distal tip to the trapezium

Hand Fan Lateral

Film:8x10CW Technique: 60@3 CR: Perpendicular to MCP of 2nd Digit Criteria: superimposed metacarpals Digits not superimposed Superimposition of distal radius and ulna Thumb free of motion and superimposition

Lateral Projection 4th - 5th

Lateral/Medial/Lateral

Lateral Projection 1st - 3rd Digits

Medial/Lateral/Lateral

Why do we do a AP Thumb vs. PA?

OID

Extended Hand Lateral

To rule out Foreign Body

Flexed Lateral Hand

To rule out Metacarpal Fracture