Standard Hand Views

Question 1

PA Hand: SID

Answer 1

40”

Question 2

PA Hand: Tube Tilt

Answer 2

none

Question 3

PA Hand: Image Receptor Size

Answer 3

Smallest Receptor Available: 8 x 10” and 10-12”

Question 4

PA Hand: Patient Positioning

Answer 4

-Patient is seated with affected hand placed with palmar side down with fingers flat against image receptor and slightly spread apart.
-Wrist joints should be in neutral position

Question 5

PA Hand: Central Ray Position

Answer 5

Through the center of the third metacarpophalangeal head

Question 6

PA Hand: Collimation

Answer 6

To 1/2 of the image receptor or size of the hand, including all the fingertips and all wrist joints

Question 7

PA Hand: Breathing Instructions

Answer 7

Suspended Motion (“Don’t Move”)

Question 8

Palmar Medial Oblique Hand: SID

Answer 8

40”

Question 9

Palmar Medial Oblique Hand: Tube Tilt

Answer 9

None

Question 10

Palmar Medial Oblique Hand: Image Receptor Size

Answer 10

The smallest image receptor available (8 x 10” or 10 x 12”), in portrait orientation

Question 11

Palmar Oblique Hand: Patient Positioning

Answer 11

-Patient makes the “Okay” sign with their fingers and hand/wrist are placed on the image receptor with palmar side down w/medial aspect of the hand, wrist and fingertips touching the image receptor.
-1st and second digits are spread apart slightly
-Hand should be at a 45 degree ankle to the image receptor

Question 12

Palmar Oblique Hand: Central Ray Position

Answer 12

Through the center of the 3rd metacarpal head

Question 13

Palmar Oblique Hand: Collimation

Answer 13

To 1/2 of the image receptor or size of the hand including all finger tips and all wrist joints

Question 14

Palmar Medial Oblique Hand: Breathing Instructions

Answer 14

Suspended motion (“Don’t Move”)

Question 15

Lateral Hand: SID

Answer 15

40”

Question 16

Lateral Hand: Tube Tilt

Answer 16

None

Question 17

Lateral Hand: Image Receptor Size

Answer 17

8 x 10” or 10 x12” in portrait orientation

Question 18

Lateral Hand: Patient Positoning

Answer 18

The patient is seated with affected hand placed medial side down with the wrist joints in neutral position. Wrist and hand are angled at 90 degrees to the image receptor.
-First digit is flexed to 90 degrees and the remaining fingers are spread apart, with the second digit being the furthest anterior and the fifth digit being the furthest posterior.

Question 19

Lateral Hand: Central Ray Position

Answer 19

Through the center of the 3rd metacarpal head

Question 20

Lateral Hand: Collimation

Answer 20

To the size of the hand, including all fingertips and all wrist joints

Question 21

Lateral Hand: Breathing Instructions

Answer 21

Suspended motion (“Don’t move”)