Evaluation Criteria: Fingers, thumb, hand, wrist

Question 1

What are some things you should see on a radiograph of a PA finger?

Answer 1

-Entire digit on image, including distal metacarpal
-No overlap of digits
-No rotation
-Equal soft tissue on sides
-Equal concavity both sides
-Fingernail centered on distal phalanx
-Open Joint Space
-See boney trabeculae and soft tissue

Question 2

What are some things you should see on a radiograph of a lateral finger?

Answer 2

-Entire digit and distal metacarpal on image
-True lateral
-Concave anterior aspect
-Fingernail in profile
-No superimposition of other digits
-Open joint spaces

Question 3

What are some things you should see on a radiograph of an oblique finger?

Answer 3

-Entire digit and distal metacarpal
-Rotated 45°
-Concave lateral aspect
-No superimposition of other digits
-Open joint spaces

Question 4

What are some things you should see on a radiograph of an AP thumb?

Answer 4

-Tip of thumb to the trapezium
-No rotation
-Concavity on both sides
-Equal amount of soft tissue on both sides
-Thumbnail in centre of distal phalanx
-Open joints

Question 5

What are some things that you should see on a radiograph of a ballcatchers position?

Answer 5

-Both hands from tip of fingers to distal radius/ulna
-Metacarpal heads free of superimposition
-Pisiform seen free of superimposition

Question 6

What are some things that you should see on a radiograph of a PA projection of the wrist?

Answer 6

-No rotation
-Open radioulnar joint space
-Good visualization of the styloid processes
-Can do an AP for better visualization of the spaces between carpals

Question 7

What are some things that you should see on a radiograph of a lateral wrist?

Answer 7

-Proximal half of metacarpals to the distal radius/ulna
-Superimposed radius and ulna
-Superimposed carpal bones
-Lunate in profile

Question 8

What are some things that you should see on a radiograph of a fan lateral wrist?

Answer 8

-Tip of fingers to distal radius/ulna
-Superimposition of metacarpals and radius/ulna
-Fingers superimposed only at proximal bases

Question 9

What are some things that you should see on a radiograph of an PA thumb?

Answer 9

-Similar to AP, but more magnified
-Good visualization of trapezium compared to AP

Question 10

What are some things that you should see on radiograph of a lateral thumb?

Answer 10

-Tip of thumb to trapezium
-True lateral
-Fingernail in profile
-Concave anterior aspect
-Open joint spaces

Question 11

What are some things that you should see on a PA oblique of the thumb?

Answer 11

-Tip of thumb to trapezium
-Proper rotation
-Concave medial aspect
-Open joint spaces

Question 12

What are some things you should see on a radiograph of a PA hand?

Answer 12

-Tips of finger to distal radius/ulna
-No overlap of fingers
-No rotation of the hand
-Open joint spaces
-Also demonstrates a PA oblique of the thumb

Question 13

What are some things that you should see on a radiograph of a PA oblique hand?

Answer 13

-Tips of finger to distal forearm
-Separation of digits
-Metacarpals will have separation between 2nd and 3rd, less between others
-Open joints