Drop shoulder to place entire upper limb on same horizontal plane. Place entire wrist, forearm, and elbow in as near a true frontal position as possible. Epicondyles same distance from IR.
Located anteriorly on proximal humerus in a true AP projection.
lesser tubercle
SCAPULAR Y LATERAL—ANTERIOR OBLIQUE POSITION: SHOULDER
Anatomy Demonstrated
True lateral view of the scapula, proximal humerus, and scapulohumeral joint.
PA PROJECTION: WRIST
Minimum SID —
IR size —
KV
Minimum SID—40 inches (102 cm) •
IR size—24 × 30 cm (10 × 12 inches),lengthwise
65 TO 70 kV range
AP AXIAL PROJECTION (MODIFIED ROBERT’S METHOD)*: THUMB
Base of first metacarpal is demonstrated for ruling out bennett’s fX - CR directed 15° proximally(toward wrist)entering at the first CMC joint. trapezium should be well visualized.
PA OBLIQUE PROJECTION—MEDIAL ROTATION: THUMB
Anatomy Demonstrated
Distal and proximal phalanges, first metacarpal, trapezium, and associated joints are visualized in a 45° oblique position
AP projections of the elbow a lateral rotation:
separates the radius and ulna
LATERAL PROJECTION: FOREARM
Anatomy Demonstrated
Lateral projection of entire radius and ulna, proximal row of carpal bones, elbow, and distal end of the humerus are visible as well as pertinent soft tissue, such as fat pads and stripes of the wrist and elbow joints.
PA OBLIQUE PROJECTION: HAND
Part Position
Pronate hand on IR; center and align long axis of hand with long axis of IR.
• Rotate entire hand and wrist laterally 45° and support with radiolucent wedge or step block, as shown, so that all digits are separated and parallel to iR
AP PROJECTION—EXTERNAL ROTATION: SHOULDER
Patient Position
SAME - AP PROJECTION—INTERNAL ROTATION: SHOULDER
Perform radiograph with the patient in an erect or supine position. (The erect position is usually less painful for patient, if condition allows.) Rotate body slightly toward affected side if necessary to place shoulder in contact with IR or tabletop
