Radiographic Positioning: Radiographic Positioning of the Hand

HAND

HAVE PATIENT REMOVE RINGS, WATCHES AND BRACELETS.

ROUTINE VIEWS:
PA
External Oblique
Lateral

*FINGERS*
Routine hand films
Coned down view of affected finger in lateral position.

PA HAND
1. 10 x 12 divided
2. Table top extremity cassette
3. 40" SID
4. Palm flat on cassette, fingers straight.
5. Center to third metacarpophalangeal joint.

EXTERNAL OBLIQUE
1. 10 x 12 divided
2. Table top extremity cassette
3. 40" SID
4. Center to third MCP joint.
5. From the PA position externally rotate the hand 45o. Separate the fingers and allow them to rest against the cassette.

LATERAL
1. 8 x 10 extremity cassette
2. Table top extremity cassette
3. 40" SID
4. Hand in true lateral position and separate fingers.
5. Center to third MCP joint.