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
