Hand/Wrist

Question 1

Routine radiographs

Answer 1

PA

Lateral

Oblique

Question 2

PA hand radiograph

Answer 2

PA-palm face down on table. Thus xray beam enters from PA direction.

Hand wrist and forearm demonstrated.

Oblique view of the thumb

2nd metacarpal in line with long axis of radius

Question 3

Lateral hand radiograph

Answer 3

metacarpals and phalanges superimposed on one another

thumb is in true PA position

long axes of radius and 3rd metacarpal are normally aligned

Question 4

Oblique hand radiograph

Answer 4

hand is rotated 45 deg from PA view

Question 5

PA wrist radiograph

Answer 5

3 arcs between carpals

Question 6

Lateral wrist radiograph

Answer 6

long axes of radius, capitate, and lunate should align or be in parallel

Question 7

Oblique wrist radiograph

Answer 7

structures best shown: scaphoid and articulations around trapezium

Question 8

MRI indications

Answer 8

TFCC tears or degeneration

Scapholunate and lunotriquetral interosseous lig tears

ulnocarpal impaction syndrome