2. Wrist Joint Basic Projections o PA o OBLIQES o LATERAL o CARPAL TUNNEL PA WRIST JOINT Exposure Factors KvmAsFFD (cm)GridFocusCassette 604100NoFine18 x 24 cm

3. Patient position Seated at end of radiographic table Apply lead shielding for Radiation safety Par t position Forearm resting on table top Axilla contact with table Center carpals to mid cassette Flex fingers slightly Central Ray Perpendicular Center Point To mid carpal area

4. Structures shown Mid and proximal metacarpals, carpals Distal radius & ulna and associated joints Wrist Joint

5. Oblique wrist joint Exposure Factors KvmAsFFD (cm)GridFocusCassette 604100NoFine18 x 24 cm Patient position Seated at end of radiographic table Apply lead shielding for Radiation safety Part position  Forearm resting on table top with Hand in lateral position  Axilla contact with table  Center carpals to mid cassette  rotate hand medially 45 degrees

6. Structures shown Distal radius &ulna Carpals especially trapezium and Scaphoid with slight superimposition Of other carpals

7. Lateral wrist joint Exposure Factors KvmAsFFD (cm)GridFocusCassette 655100NoFine18 X 24 CM Patient position Seated at end of radiographic table  Apply lead shielding for Radiation safety Part position  Forearm resting on table top with Hand and wrist in lateral position  Axilla contact with table with elbow Flexed 90 degrees  Center carpals to mid cassette Central Ray  Perpendicular

8. Center Point To wrist joint Structures shown Distal radius and ulna superimposed Carpals and mid metacarpals superimposed

9. PA wrist With ulnar deviation ( Scaphoid) Exposure Factors KvmAsFFD (cm)GridFocusCassette 655100NoFine18 X 24 CM Patient position Seated at end of radiographic table Apply lead shielding for Radiation safety Part position Forearm resting on table top with Axilla contact with table & elbow Flexed 90 degrees Palmar of hand contact with table Center carpals to mid cassette Rotate wrist joint towards ulna

10. Central Ray Perpendicular Center Point To Scaphoid Structures shown Scaphoid separated from other carpals Scaphoid View

11. Carpal Tunnel (wrist) Exposure Factors KvmAsFFD (cm)GridFocusCassette 655100NoFine18 X 24 CM Patient Position Patient standing or seated at table end Ask patient to lean over and place palmar Surface of hand on cassette Part position Center palmar surface of carpals to cassette Hand and forearm near to 90 degrees angulation to cassette

12. Central Ray Perpendicular Center Point Mid point of the distal forearm ( 4 cm proximal to wrist joint) Structure Shown:- Dorsal aspect of Scaphoid, lunate and trapezium Outline of the capitate and trapezium superimposed