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upper limb · PA Axial (Ulnar Deviation)
Scaphoid PA with Ulnar Deviation
Seated, hand pronated on IR.
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AI Patient · KV Sir
How to perform this view
- 01
Pronate hand, gently deviate toward ulnar side.
- 02
Angle CR 10-15 deg proximally (toward elbow).
- 03
Centre to scaphoid (snuffbox).
- 04
Add oblique and lateral scaphoid series.
Anatomical & patient position
Patient: Seated, hand pronated on IR.
Part: Hand deviated toward ulna; CR angled 10-15 deg toward elbow.
Central ray & centring point
10-15 deg proximal, to scaphoid.
Exposure factors
kVp
55-65 kVp
mAs
2-4 mAs
SID
100 cm
IR size
18 x 24 cm
Grid
No
Respiration
N/A
Clinical indications
- Scaphoid fracture (FOOSH injury)
- AVN of scaphoid
Contraindications & precautions
- Suspected distal radius fracture - avoid forced deviation
Structures shown & evaluation criteria
- Scaphoid elongated, without foreshortening
- Open joint spaces around scaphoid