Wrist

 PA PROJECTION/ AP VIEW-pg124 

 Cassette Size:  8X10 crosswise two exposures

 Position of patient:  seated low in the chair next to the table

 Position of Part: Pronate the hand and center the wrist to the middle of he half cassette, flex fingers a little to reduce OID.

 Central Ray:  vertically to the middle of the wrist joint

 Structures Shown: distal radial and ulna, carpal bones

 Lateral Wrist-pg 126 

 Cassette Size: 8X10 two exposures

 Position of Patient: Seated low in a chair next to the table

 Position of Part : Flex the elbow 90 degrees and place the hand wrist and forearm in the lateral position, center the wrist to the middle of the half cassette

 Central Ray: Vertically to the middle of the wrist joint

 Structures shown: Distal radius and ulna superimposed

 PA Oblique Projection-pg 128 

 Cassette Size: 8X10 lengthwise one exposure

 Position of patient: Seated low in a chair next to the table

 Position of Part:  Place the wrist in the lateral position and then rotate it down into a 45 degree oblique

 Central Ray:  Vertically to the middle of the wrist joint

 Structures Shown:  Distal radial and ulna, Carpal bones, navicular (scaphoid)

 AP OBLIQUE PROJECTION pg 129 

 Cassette Size:  8X10 lengthwise one exposure

 Position of Patient:  seated low in chair next to table lead apron

 Position of Part : place wrist in the lateral position and rotate the wrist laterally into a 45 degree oblique, center the wrist to the middle of the half cassette

 Central Ray:  Vertically to the middle of the wrist

 Structures Shown:  the pisiform

 Ulnar Flexion pg130 

 Cassette Size:  8x10 lengthwise one exposure

 Position of patient:  seated in a chair next to the table, relatively low

 Position of Part: Pronate the hand and center the wrist to the middle of the cassette flex the fingers as much as possible towards the ulna

 Central Ray:  vertically to the navicular

 Structures Shown: the navicular

 Radial Flexion pg 131 

 Cassette Size: 8x10 lengthwise one exposure

 Position of Patient: sitting low in the chair next to the table

 Position of Part : Pronate the hand and center the wrist to the middle of the cassette, flex the fingers as much as possible towards the radius

 Central Ray: vertically to the midcarpal area

 Structures shown: pisiform

 Stecher Position pg 132 

 Cassette Size: 8x10 lengthwise one exposure

 Position of patient: seated in a chair next to the table

 Position of Part:  angle the cassette 20 degrees down towards the patient, pronate the hand and center the wrist to the middle of the cassette

 Central Ray:  directed vertically to the navicular

 Structures Shown:  straight navicular

 Carpal canal position pg 138 

 Cassette Size:  8x10 lengthwise one exposure

 Position of Patient:  seat the patient in a chair at the end of the table

 Position of Part : hyper extend the wrist back, holding the fingers back with the other hand, adjust the palm of the hand so its vertical, center the wrist to the middle of the cassette, foam pad under wrist, slightly rotate the hand towards the radius to prevent superimposition of the pisiform and the hamate

 Central Ray:  25 -30 degrees to the base of the third metacarpal

 Structures Shown:  carpal bones form half circle