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upper limb · PA / Lateral
Wrist PA & Lateral
Seated, arm on table, elbow flexed 90 deg, shoulder at table level.
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AI Patient · KV Sir
How to perform this view
- 01
PA: pronate hand, arch slightly to place wrist flat.
- 02
Centre CR to midcarpal area.
- 03
Lateral: rotate to true lateral, radius & ulna superimposed.
- 04
Elbow at 90 deg, shoulder, elbow, wrist at same level.
Anatomical & patient position
Patient: Seated, arm on table, elbow flexed 90 deg, shoulder at table level.
Part: PA: hand pronated, slight flexion of fingers. Lateral: ulnar side down, elbow 90 deg.
Central ray & centring point
Perpendicular to midcarpal area.
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
- Colles' / Smith's fracture
- Carpal dislocation
- Arthritis
Contraindications & precautions
- Gross deformity / open fracture - do not manipulate; adapt projection and use horizontal beam
Structures shown & evaluation criteria
- Distal radius & ulna, carpals, proximal metacarpals
- Radius & ulna superimposed on lateral