LATERAL WRIST

Pathology Demonstrated : 

Fx of distal radius and ulna Isolated fx of radial or ulnar styloid processes 

Arthritis .osteomyelitis

IR Size :

18*24

IR Position :

crosswise / tabletop

Sheilding :

Place lead shield over pt’s lap

Pateint Position : 

Set pt at end of table , with both hands extended and pronated on IR 

Part Position : 

Align and center long axis of hand and wrist to portion of IR being exposed 

From pronated position, rotate wrist and hand laterally 45° 

CR : 

Direct midcarpal area 

Collimation : 

4sides 

Include distal radius and ulna MC area

Criteria : 

Structure shown : distal radius and ulna , carpals and at least to mid metacarpal area are visible.trapezium and scaphoid should be well visualized,with only slight superimpostion of other carpals on their medial aspect 

Position:  long axis of hand and wrist ,forearm should be aligned with IR

True—> evident by ulnar head being partially superimposed by distal radius 

2- the proximal third , fourth , fifth metacarpals should appear mostly superimposed