Hand PA

Area covered Hand,

•  wrist and 2.5cm of distal forearm

anatomy of hand

Basic Patient PositionThe patient sits alongside the end of the table elbow flexed palm downwards, or at the end of the table with he elbow flexed at 90 degrees, hand and wrist flat on the cassette the elbow may need a small pad to promote contact of the hand with the cassette. The fingers can be spread slightly.

IR Size & Orientation

24 x 30cm 

Landscape, divided in half usually fits 2 projections, use lead masking for unused area

Positioning of Hand

Evaluation of the Image

• ID and markers must be present and correct in the appropriate area of the film
• Evidence of collimation on four sides equally around the centering point.
• Limits of the examination, proximally the radio and ulna carpal joints, distally the tips of the distal phalanges, laterally the skin margins of first and fifth digits.
• metacarpo phalangeal joints should be open and the shafts of the second to fifth metacarpals should be symmetrical.
• Exposure, adequate penetration to visualise all bone detail and low enough contrast to visualise the soft tissues.

X-Ray Of Hand

video of hand Radiography Positioning

for more info click right here