PA HAND 

PATHOLOGY DEMONSTRATED : 

Fractures, dislocations, or foreign bodies of the phalanges, metacarpals, and all  joints of the hand 

• Pathologic processes such as osteoporosis and osteoarthritis 

IR SIZE : 

 24 / 30

IR POSITION : 

Lengthwise /tabletop

Sheilding : 

Shield radiosensitive tissue outside region of interest 

Patient Position :

Seat pt at end of table 

Elbow flexed 90°

Hand and for arm resting on table

Part position : 

Pronat hand with palmar surface in correct with it Align long axis (hand , forearm) with long axis of IR 

CR : 

CR perpendicular to IR, directed to third MCP joint

COLLIMATION : 

Collimat on for sides to outer margins Hand and wrist . 

Criteria :

Anatomy Demonstrated: 

• PA projection of entire hand and  wrist and about 2.5 cm (1 inch) of distal forearm are  visible. • PA projection of hand demonstrates oblique view of  the thumb. 

Position: 

• Long axis of hand and wrist aligned with long axis  of IR. 

• No rotation of hand, as evidenced by symmetric  appearance of both sides or concavities of shafts of  metacarpals and phalanges of digits 2 through 5 and the  appearance of equal amounts of soft tissue on each side of  phalanges 2 through 5. 

• Digits should be separated slightly  with soft tissues not overlapping. 

• MCP and IP joints should  appear open, indicating correct CR location and that hand was  fully pronated.