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