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Citation, DOI, disclosures and case data. Dixon A, Normal wrist x-rays. Case study, Radiopaedia.org (Accessed on 23 Aug 2024) https://doi.org/10.53347/rID-36685. At the time the case was submitted for publication Andrew Dixon had no recorded disclosures.
Patient Data. Age: 30 years. Gender: Male. Normal radiographic anatomy of the wrist. Annotated image. metacarpal bone. carpometacarpal joint. trapezoid. trapezium.
Citation, DOI, disclosures and case data. Dixon A, Normal wrist x-rays. Case study, Radiopaedia.org (Accessed on 13 Oct 2024) https://doi.org/10.53347/rID-36685. At the time the case was submitted for publication Andrew Dixon had no recorded disclosures.
The lateral wrist radiograph is requested for myriad reasons including but not limited to trauma, suspected infective processes, injuries the distal radius and ulna, suspected arthropathy or even suspected foreign bodies.
The PA wrist radiograph is requested for myriad reasons including but not limited to trauma, suspected infective processes, injuries the distal radius and ulna, suspected arthropathy or even suspected foreign bodies.
This article provides a comprehensive approach to wrist radiographs, including techniques and common indications for imaging.
The oblique wrist radiograph is requested for myriad reasons including but not limited to trauma, suspected infective processes, injuries the distal radius and ulna, suspected arthropathy or even suspected foreign bodies. It is also a handy projection to better assess the scaphoid and subtle distal radial fractures.
Check the carpal arcs: the articular surfaces of the proximal and distal carpal rows should form three smooth arcs. trace these arcs on the AP film. the spacing between all carpal bones should be 1-2 mm. if the arc is broken or there is a widening of a joint space, think carpal dislocation.
Plain radiograph. true lateral radiograph of the wrist is vital (as little as 10º of rotation can result in misinterpretation) 2. widened distal radioulnar joint space on frontal projections, with dislocation/subluxation evident on lateral projections.
Normal wrist arthrograms. Technically successful wrist joint arthrogram injection. The proximal pole of the scaphoid is targeted with a 25G needle using an oblique approach. The first image stack is taken during injection of the iodinated contrast which extends from the needle to fill the wrist joint confirming an intra-articular position.