Chapter 4 Hand and Wrist. Hand Digits __________ Phalanx Metacarpals 1-5.

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Presentation transcript:

Chapter 4 Hand and Wrist

Hand Digits __________ Phalanx Metacarpals 1-5

Imaging the Digits 2-5 PA Hand PA affected digit Oblique Lateral _______ Kv

PA Hand ___________ Pronate hand Slightly abduct digits CR at ________ Collimate Include wrist

PA affected digit _________hand Slightly abduct digits CR at _________ Collimate Include distal metacarpal

Oblique Digit PA Oblique _________depending on digit _______can help CR at PIP Collimate to digit

Lateral Digit Rotate to lateral ______________projection dependent on digit Isolate the digit Block sponge can help CR at _________ Collimate to digit

1 st Digit Imaging PA Hand __________ Lateral 1 st digit 40” SID kV

AP 1 st Digit ____________and place dorsal aspect on IR Remove superimposition of digits 2-5 CR at ________ Collimate

Lateral 1 st Digit Pronate hand and _____________ A sponge under the palm can help CR at _______ Collimate

Hand Imaging PA Oblique Lateral 40” SID 50-60kV

PA Hand Remove artifacts (if possible) Pronate hand Slightly abduct digits CR at 3 rd MCP Collimate Include wrist

Oblique Hand Pronate hand Rotate ______________ A sponge can help CR to __________ Collimate

Lateral Hand Rotate to ____________ Form ___________ Fan remaining digits A sponge can help CR at 2 nd MCP

Wrist Carpals Proximal row – Lateral to Medial Scaphoid Navicular Lunate Semilunar Triquetrum Triangular Pisiform Carpals Distal row – Lateral to Medial Trapezium Greater Multangular Trapezoid Lesser Multangular Capitate Os Magnum Hamate Unciform

Wrist Imaging PA Lateral Oblique Ulnar Deviation Carpal Tunnel 40” SID 60 kV

PA Wrist Pronate hand CR to mid carpals Just distal ____________ Collimate to skin laterally and include: Distal ___________ Mid metacarpals

Lateral Wrist ____________projection CR to mid carpals Collimate

Oblique Wrist Pronate hand ________________ A sponge can help CR to mid carpals Collimate

Ulnar Deviation Pronate hand ___________________ Assess the patient and don’t force it ___________tube angle CR to scaphoid __________to radial styloid Collimate to carpals Done for Scaphoid

Carpal Tunnel Dorsiflex _______ Rotate _________ ___________tube angle CR 1” distal to the base of 3 rd metacarpal