Radiographic Positioning: Radiographic Positioning of the Wrist

WRIST

Have patient remove rings, watches and bracelets.

ROUTINE VIEWS:
PA
RPO
LPO
Lateral

ADDITIONAL VIEW:
Navicular (Scaphoid)

PA
1. 1/2 - 10 x 12 detail cassette
2. Table top
3. 40" SID
4. Curl hand into fist to flatten wrist
5. Center to radioulnar joint

RPO
1. 1/2 - 10 x 12 detail cassette
2. Table top
3. 40" SID
4. Put palm flat on table and rotate wrist up laterally 45o
5. Center to radioulnar joint

LPO
1. 1/2 - 10 x 12 detail cassette
2. Table top
3. 40" SID
4. Put palm flat on table and rotate wrist up medially 45o
5. Center to radioulnar joint

Lateral
1. 1/2 - 10 x 12 detail cassette
2. Table top
3. 40" SID
4. Place hand laterally with fingers straight and thumb pointing up
5. Center to radioulnar joint

ADDITIONAL VIEW:

Navicular
* Radial deviation/ulnar flexion
Position patient with arm straight and fingers deviated out from body. Angle tube 20o toward the elbow. Central ray enters navicular area.