Wrist
PA
IR Size: 8x10 TT
SID: 40''
Page #'s: 1:132,20

Positioning:
  • Wrist Prone
  • Fingers Slightly Flexed(=carpals closer to IR)
  • =Arm in same plane

CR Entrance & Angle:
  • _|_ to MidCarpal Area
  •

Collimation:
  • Distal Radius & Ulna to Proximal 1/2 of MC

Respiration:
  •

Eval Criteria:
  • NR
  • Open Radioulnar joint
  • Includes Distal radius & Ulna, carpals & proximal half of metacarpals

Lateral (LM)
IR Size: 8x10 TT
SID: 40''
Page #'s: 1:134,22

Positioning:
  • Elbow 90°
  • All 5 digits extended, thumb in
  • =Arm in same plane

CR Entrance & Angle:
  • _|_ to MidCarpal Area
  •

Collimation:
  • Distal Radius & Ulna to Proximal 1/2 of MC

Respiration:
  •

Best to Determine:
  • A/P displacement of fractures

Eval Criteria:
  • SI of Distal Radius & Ulna
  • SI Metacarpals
  • Includes Distal radius & Ulna, carpals & proximal half of metacarpals
  • Density similar to PA & Ob

PA Oblique
IR Size: 8x10 TT
SID: 40''
Page #'s: 1:136,24

Positioning:
  • Wrist prone & rotate 45° Laterally
  • Fingers slightly flexed
  • =Arm in same plane

CR Entrance & Angle:
  • _|_ to MidCarpal Area
  •

Collimation:
  • Distal Radius & Ulna to Proximal 1/2 of MC

Respiration:
  •

Best to Determine:
  • Trapezium & Distal half of Scaphoid

Eval Criteria:
  • Slight overlap of Distal Radius & Ulna
  • Slight space between 3rd to 4th & 4th to 5th metacarpal shafts
  • Open trapeziotrapezoid & scaphotapezial joints
  • Includes Distal radius & Ulna, carpals & proximal half of metacarpals

Navicular (PA Ulnar deviation)
IR Size: 8x10 TT
SID: 40''
Page #'s: 1:138

Positioning:
  • Elbow 90°
  • All 5 digits extended, thumb in
  • =Arm in same plane
  • hand outward in extreme ulnar deviation

CR Entrance & Angle:
  • 10°-15° proximally or sometimes distally to Scaphoid
  •

Collimation:
  • Distal Radius & Ulna to Proximal 1/2 of MC

Respiration:
  •

Eval Criteria:
  • Scaphoid with adjacent articulations open
  • NR of wrist
  • Extreme ulnar deviation shown by angle of MC's to the forearm