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PA Projections

hold the thumb in abduction and extension Part position place the thumb with the palmar surface down on the unmasked portion of the IR Reference point: The reference point is the IP joint Central ray: Perpendicular to the IP joint Patient instruction: ask the patient to relax the thumb Immobilization device: none Structure shown: A PA projection of the thumb is visualized Evaluation: No rotation of the thumb: Concavity of the phalangeal shafts and an equal amount of soft tissue on both sides of the phalanges. Nail bed centered over the distal phalanx. Entire thumb from tip to base of metacarpal. Open IP and CMC

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0% found this document useful (0 votes)
46 views2 pages

PA Projections

hold the thumb in abduction and extension Part position place the thumb with the palmar surface down on the unmasked portion of the IR Reference point: The reference point is the IP joint Central ray: Perpendicular to the IP joint Patient instruction: ask the patient to relax the thumb Immobilization device: none Structure shown: A PA projection of the thumb is visualized Evaluation: No rotation of the thumb: Concavity of the phalangeal shafts and an equal amount of soft tissue on both sides of the phalanges. Nail bed centered over the distal phalanx. Entire thumb from tip to base of metacarpal. Open IP and CMC

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Glennver Manila
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Digits PA Projections

Filmsize 8x10 inch

Patient position seat the patient at the end of the radiographic table

Part position place the extended digit with the palmar surface down on the unmasked portion of the IR

Reference point: The reference point is the PIP

Central Ray: Perpendicular to the PIP joint of the affected digit

Patient instruction Separate digits slightly and center the digit underexamined to the midline portion of
the IR shield gonads

Immobilization device: none

Structure Shown: A PA projection of the appropriate digit is visualized

Evaluation: No rotation of the digit: Concavity of the phalangeal shafts and an equal amount of soft
tissue

on both side of the phalanges Fingernail, if visualized and normal, centered over the distal phalanx

• Entire digit from fingertip to distal portion of the adjoining metacarpal

• No soft tissue overlap from adjacent digits

• Open interphalangeal and MCP joint

spaces without overlap of bones

• Soft tissue and bony trabeculation

Digits Lateral projection

Film size: 8x10 inch

Patient position: seat the patient at the end of the radiographic table

Part position

Reference point: parallel with the long axis of the digit. Center the IR to the PIP joint.
Thumb PA projection

Film size : 8x10 inch

Patient position seat the patient at the end of the table with the arm internally rotated

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