RAD 315 Wrist & Forearm Exam
AP forearm with fractured radius and ulna
40 inches, parts of the elbow to wrist in the picture, extended on the table
PA oblique wrist, lateral rotation
central ray 45 degrees, sponge or not, 40 inches
Tangential carpal bridge, original method
hand lays on IR, forearm lines straight up to 90 degrees, CR 45 degrees towards finger, enter where flexion is
Most injured bone in the wrist
scaphoid bone
When in proximal ...
ulna (medial), larger bone
Rafert-long method
4 projections, scaphoid angulation - start with PA wrist in ulnar deviation (0 degrees), the angle tube at 10 degrees, then 20 degrees, then 30 degrees
Stecher method (PA axial wrist for scaphoid):
CR 20 degrees, IR on top of a sponge
Lateral wrist with ulnar surface to IR
Superimpose, Posterior or anterior fractures
Lateral forearm
elbow, shoulder, wrist on the same plane, 90 degrees, hand in true lateral position
AP oblique wrist, medial rotation
perpendicular, 40 inches, pisiform wrist bone
Tangential (inferosuperior) carpal canal: Gaynor-Hart method
pull back fingers, don't include the thumb, CR 25/30 degrees, alines the wrist bones
When in distal ...
radius (lateral), larger bone
AP wrist (x-ray)
radius, distal and ulnar
