Hand
PA
IR Size: 8x10 or 10x12 TT
SID: 40''
Page #'s: 1:124,14

Positioning:
  • Hand Prone
  • Fingers slightly apart

CR Entrance & Angle:
  • _|_ 3rd MCP
  •

Collimation:
  • Distal Radius & Ulna

Respiration:
  •

Eval Criteria:
  • NR-Equal concavity of MC & phalanges 2-5, equal ST on both sides of phalanges, Fingernails centered, equal distance of MC Heads
  • Open IP's & MCP's
  • No ST overlap of adjacent digits

Lateral (LM) (Extended)
IR Size: 8x10 TT
SID: 40''
Page #'s: 1:128,18

Positioning:
  • Ulnar down
  • Abduct thumb

CR Entrance & Angle:
  • _|_ 2nd MCP
  •

Collimation:
  • Distal Radius & Ulna

Respiration:
  •

Best to Determine:
  • Localize Foreign Bodies
  • Metacarpal Fracture Displacements

Eval Criteria:
  • SI Phalanges
  • SI MC & Distal Radius & Ulna
  • Digits extended
  • Thumb not SI

Lateral (LM) (Fan)
IR Size: 8x10 TT
SID: 40''
Page #'s: 1:128,18

Positioning:
  • Ulnar down
  • Fan Fingers

CR Entrance & Angle:
  • _|_ 2nd MCP
  •

Collimation:
  • Distal Radius & Ulna

Respiration:
  •

Best to Determine:
  • Phalanges in lateral

Eval Criteria:
  • SI MC & Distal Radius & Ulna
  • Thumb not SI

PA Oblique (Fan touching film)
IR Size: 8x10 or 10x12 TT
SID: 40''
Page #'s: 1:126,16

Positioning:
  • Have fingertips touch IR

CR Entrance & Angle:
  • _|_ 3rd MCP
  •

Collimation:
  • Distal Radius & Ulna

Respiration:
  •

Best to Determine:
  • Metacarpals

Eval Criteria:
  • Minimal overlap of 3-5 MC shafts; Separation of 2&3 MC
  • Slight overlap of MC Bases & Heads
  • No ST overlap of adjacent digits

PA Oblique (Extended)
IR Size: 8x10 or 10x12 TT
SID: 40''
Page #'s: 1:126,16

Positioning:
  • Fingers Extended on 'stair' foam if available

CR Entrance & Angle:
  • _|_ 3rd MCP
  •

Collimation:
  • Distal Radius & Ulna

Respiration:
  •

Best to Determine:
  • IP Joints

Eval Criteria:
  • Minimal overlap of 3-5 MC shafts; Separation of 2&3 MC
  • Slight overlap of MC Bases & Heads
  • Open IP's & MCP's
  • No ST overlap of adjacent digits