Make the long axis of the hand as vertical as possible without causing pain or discomfort. Center the joint at the area of the radial styloid process to the midportion of the image receptor. Purpose and Structures Shown: This view is for identifying abnormalities of the tissues in the canal and fractures of hamate, trapezium, and pisiform bones (Palmar surface of trapezium, tubercle of trapezium, Capitate, Scaphoid, Triquetrum, Hook of Hamate, and Pisiform) and soft tissue of the wrist. Wrist Tangential Inferosuperior Gaynor-Hart Method The image receptor is vertically positioned.Ĭentral ray: 45 degree caudal angle, 1 1/2 inch cephalic of bend at wrist.

Modified Method: When Elevate the forearm then flex the wrist to make a perpendicular angle with the forearm.

Position of part: Original Method: The back of the hand should be in contact with the image receptor and perpendicular angled with the forearm. Position of patient: Seated sideways or standing at the side of the table. Purpose and Structures Shown: This view should demonstrate the Scaphoid fractures, calcifications, lunate dislocations, presence of foreign bodies in dorsum area of the wrist, and chip fractures of the dorsal surface of the carpals. Make the patient lean laterally to avoid wrist rotation. Position of part: Wrist prone palm up, extend fingers. Elevate digits slightly if possible to place the wrist in close contact to the image receptor. Purpose and Structures Shown: This view is an alternative to the wrist PA view.

Position of part: Wrist prone palm down, flex fingers.Ĭentral ray: Perpendicular to the image receptor at center of wrist. Ideally, upper arm, elbow, and forearm are all resting on the table. Position of patient: Seated sideways at the end of the table. Purpose and Structures Shown: This view should demonstrate the bones specifically the carpals, distal radius and ulna and proximal metacarpals and soft tissue of the wrist. By: CE4RTThis article discusses radiographic positioning for the Radiologic Technologist (X-Ray Tech) to show the wrist.

Normal wrist xray