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upper limb · PA / Oblique / Lateral
Fingers PA, Oblique & Lateral
Patient seated at end of table, elbow flexed 90 deg.
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AI Patient · KV Sir
How to perform this view
- 01
Seat patient sideways to table.
- 02
PA: hand flat, fingers extended, CR to PIP joint.
- 03
Oblique: rotate 45 deg laterally, finger parallel to IR.
- 04
Lateral: affected finger extended, others flexed into fist.
- 05
Collimate to affected finger + metacarpal.
Anatomical & patient position
Patient: Patient seated at end of table, elbow flexed 90 deg.
Part: Hand flat (PA), 45 deg oblique on step sponge, then true lateral with other fingers flexed away.
Central ray & centring point
Perpendicular to PIP joint of affected finger.
Exposure factors
kVp
50-60 kVp
mAs
1-3 mAs
SID
100 cm
IR size
18 x 24 cm (split)
Grid
No
Respiration
N/A
Clinical indications
- Fractures, dislocations
- Foreign bodies
- Arthritis
Contraindications & precautions
- Gross deformity / open fracture - do not manipulate; adapt projection and use horizontal beam
Structures shown & evaluation criteria
- Phalanges and distal metacarpal
- Joint spaces open