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upper limb · PA / PA Oblique
Hand PA & Oblique
Seated at end of table, elbow flexed 90 deg.
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AI Patient · KV Sir
How to perform this view
- 01
Remove rings, watch.
- 02
PA: palm down, fingers spread, CR to 3rd MCP.
- 03
Oblique: rotate 45 deg laterally, fingers parallel on step sponge.
- 04
Lateral (fan) for foreign body/metacarpal displacement.
- 05
Collimate to include distal radius-ulna.
Anatomical & patient position
Patient: Seated at end of table, elbow flexed 90 deg.
Part: PA: palm flat, fingers slightly separated. Oblique: rotate 45 deg laterally on step sponge.
Central ray & centring point
Perpendicular to 3rd MCP joint.
Exposure factors
kVp
55-60 kVp
mAs
2-3 mAs
SID
100 cm
IR size
24 x 30 cm
Grid
No
Respiration
N/A
Clinical indications
- Fractures (boxer's fracture)
- Rheumatoid arthritis
- Bone age (paediatric)
- Foreign bodies
Contraindications & precautions
- Gross deformity / open fracture - do not manipulate; adapt projection and use horizontal beam
Structures shown & evaluation criteria
- Phalanges, metacarpals, carpals, distal radius/ulna
- MCP & IP joints open