Wrist

Patient position for carpal Bridge tangential projection of the wrist

Have patient stand or sit at the end of the table and then lean over and play stores all surface of the hand Palm upward on IR

CR for carpal Bridge tangential projection of wrist

Angle CR 45 degrees to the long axis of the forearm direct CR to a midpoint of the distal forearm about 4 centimeters proximal to the wrist joint

CR 4 elevated and ulnar deviation of PA scaphoid of wrist

Center CR perpendicular to IR directed at scaphoid

Part position for carpal Bridge tangential projection of wrist

Center dorsal aspect of carpals to IR gently Flex wrist as far as patient can tolerate or until the hand and forearm form as near as a 90-degree angle as possible

CR for PA projection radio deviation of the wrist

CR perpendicular to IR directed to make carpal area

CR for PA oblique projection of the wrist with lateral rotation

CR perpendicular to ir and directed at midcarpal area

CR for lateral projection of wrist

CR perpendicular to ir and directed at midcarpal area

An ap wrist is good for visualizing what

Visualizing the carpals of the patient can assume his position easily as well as demonstrate intercarpal spaces and wrist joints better

To look for obscure fractures of the scaphoid what projections should be used

The rapper and long which is a for projection series with the CR angled proximally 0 10 degrees 20 degrees and 30 degrees

True 45 oblique of the wrist is evidenced by

Ulnar head partially superimposed Buy the distal radius and proximal 3rd through 5th metacarpal bases should appear mostly superimposed

Part position for the Gaynor Hart method

Align hand and wrist with long axis of the ir Hyperextend the wrist as far as possible by the use of a piece of tape or band and gently but firmly until the long access of the metacarpals and fingers are as near as vertical as possible Rotate entire hand and wrist about 10 degrees internally toward radio side to prevent superimposition of the pisiform and hamate

Part position for PA oblique projection lateral rotation of wrist

Alignment center hand and wrist and I are from pronated position rotate wrist and hand laterally 45 degrees

Cr4 Gaynor Hart method

Angle cr 25 to 30 degrees to the long axis of the hand direct the CR to point 2 to 3 centimeters distal to the base of the third metacarpal

CR for PA and Pa axial scaphoid with ulnar deviation of the wrist

Anglesey are 10 to 15 degrees proximally along long axis of forearm and toward elbow Center Co to scaphoid

Who recommended ulnar deviation in addition to the hand elevation for less scaphoid superimposition

Bridgman

Clinical indications of carpal Bridge tangential projection of the wrist

Calcification or other pathology of the dorsal or posterior aspect of the carpal bones

What is an alternative to elevation of the hand or angling the CR

Clenching the Fists

Anatomy demonstrated for PA and Pa axial scaphoid with ulnar deviation of the wrist

Distal radius and ulna carpals and proximal metacarpals are visible scaffold should be demonstrated clearly without for shortening with adjacent carpal interspaces opened

True PA as evidence by the following

Equal contributions are on each side of the shaft of the proximal metacarpals near equal distances exist among the proximal metacarpals separation of the distal radius and ulna is president except for minimal superimposition at the distal radioulnar joint

PA oblique projection of the wrist clinical indications with lateral rotation

Fractures of distal radius or ulna isolated fractures of radial or owner styloid processes and fractures of individual carpal bones pathological processes such as osteomyelitis and arthritis

Clinical indications for AP projection of wrist

Fractures of distal radius or ulna isolated fractures of radio or on their styloid processes and fractures of individual carpal bones pathological processes such as a few myelitis and arthritis

Lateral projection of wrist- lateral medial clinical indications

Fractures or dislocations of the distal radius or ulna specifically anterior posterior dislocations of Barton's Collies or Smith's fractures osteoarthritis Also may be demonstrated primarily in the trapezium and first CMC joint

, what does elevation of the hand 20 degrees rather than the angling of CR do to the scaphoid

It places the scaffold parallel to the IR

Anatomy demonstrated in PA projection of wrist

Mid metacarpals and proximal metacarpals distal radius ulna and Associated joints soft tissues of the wrist such as fat heads and fat strips are visible all intercarpal spaces do not appear opened because of irregular shapes that result in overlapping

PA oblique projection of the wrist with lateral rotation technical factors

Minimum Sid 40 inches IR 8 by 10 lengthwise non-grid digital systems 65 - 75 Kv

Technical factors for PA projection of wrist

Minimum Sid 40 inches IR size 8 by 10 lengthwise non grid digital system 65 to 70 KV

If a patient has possible wrist trauma should we attempt the PA axial scaphoid with ulnar deviation

Not until a routine wrist Series has been completed and evaluated to rule out possible fracture of the distal forearm or wrist or both

True lateral position of a lateral projection wrist is evidenced Buy

On their head should be superimposed over the distal radius proximal 2nd through 5th metacarpal is all should appear aligned and superimposed

Part position for PA and PA axial scaphoid With ulnar deviation of the wrist

Palm down and hand and wrist align with Center of long axis of ir with scaphoid Center UCR without moving the forearm gently invert hand as far as the patient tolerate without lifting or rotating distal forearm

CR for PA projection of wrist

Perpendicular to ir and directed at midcarpal area

Part position 4p a scaphoid with hand elevated and ulnar deviation of the wrist

Please hand and wrist Palm down on IR with hand elevated and 20 degree angle sponge ensure that wrist is in direct contact with ir

Part position for PA projection radial deviation of wrist

Position rest for PA projection without moving the forearm gently invert the hand toward thumb side as far as patient can tolerate without lifting or rotating the distal forearm

PA projection radial deviation of the wrist clinical indications

Possible fractures of carpal Bones on the underside of the wrists especially the lunate triquetrum pisiform and hamate

Clinical indications of PA and Pa axial scaffold with ulnar deviation of the wrist

Possible fractures of the scaphoid

Clinical indications for PA scaphoid with hand elevation and all their deviation of wrist also called modified structure method

Possible fractures of the scaphoid this is an alternative projection to cr angle on the deviation method

Carpal Canal tunnel tangential Inferno Superior projection of the wrist clinical indication

Rule out of normal calcification of bony changes in the carpool selfies that may impinge on the median nerve as with carpal tunnel syndrome and possible fractures of the hamulus process of the hamate the pisiform and trapezium

Patient position for lateral projection of the wrist

See patient at end of the table with arm and forearm resting on the table and elbow flexed about 90-degrees Place wrist and hand on IR in thumb up lateral position

Patient position for a projection of wrist

See patient at end of the table with him for more extended drop shoulder so that shoulder elbow and wrist are on the same horizontal plane

Patient position for PA and pa axial scaphoid with ulnar deviation of the wrist

See patient at the end of the table with wrist and hand on IR Palm down and shoulder and elbow and wrist on the same horizontal plane

Technical factors 4 carpal Canal tunnel tangential infraero Superior projection of the wrist also called Gaynor Hart method

Sid 40 8 by 10 lengthwise non grid digital systems 65 to 70 KV

Technical factors for PA and Pa axial scaphoid with ulnar deviation of the wrist

Sid 40 IR 8 by 10 lengthwise non grid digital systems 65 to 70 KV range

Technical factors of the lateral lateral medial projection of wrist

Sid 40 IR size 8 by 10 lengthwise non grid digital 65 to 70 KV range

Technical factors of the carpal Bridge tangential projection of wrist

Sid 40 8 by 10 length wise Non grid digital systems 70 to 75 kv

Technical factors for PA projection radial deviation of the wrist

Sid 40 8 by 10 lengthwise non-grid digital systems 65 to 70 KV

Technical factors for elevated ulnar deviation PA scaphoid of the wrist

Sod 40 8 by 10 lengthwise non grid digital system 65 to 70 KV

Anatomy demonstrated for PA oblique projection with lateral rotation of wrist

Sunday paper distal radius ulna carpals at least two mid metacarpal area are visible trapezium and scaphoid should be well visualized with only slight superimposition of other couples on the medial aspect

Scaphoid fat stripe

Visualized on PA an oblique views is located between the radio collateral ligament and adjoining muscle tendon immediately lateral to the scaphoid

Pronator fat stripe

Visualized on the lateral view of the wrist normally about one centimeter from the anterior surface of the radius