ROUTINE PROJECTIONS FOR FINGERS ppt.pptx

TLO: To understand the basic projections for fingers

Thumb
1. AP view

INDICATION
Fracture and dislocation of the thumb

CASSETTE SIZE
8X10

POSITION OF PATIENT
Patient sits beside the x-ray table on a stool
The affected thumb should be rest on the cassette
The elbow is a straight and posterior ...

TLO: To understand the basic projections for fingers

Thumb
1. AP view

INDICATION
Fracture and dislocation of the thumb

CASSETTE SIZE
8X10

POSITION OF PATIENT
Patient sits beside the x-ray table on a stool
The affected thumb should be rest on the cassette
The elbow is a straight and posterior surface of thumb on the film
Sand bag is put over the elbow

POSITION OF CASSETTE
The cassette is placed under the affected thumb

CENTERING
Central ray over the first metacarpo-phalangeal joint at the right angle to the film
Collimation should be used during exposure

RADIOLOGICAL APPEARANCE


The first metacarpals and two phalanges are clearly seen without any superimposing


EXPOSURE
Distance 90-100cm

Kv- 45 to 50
mAs – 2-4
Grid - no



2. PA VIEW
INDICATION

Fracture and dislocation of thumb

CASSETTE SIZE
8x10

POSITION OF THE PATIENT
Patient seats beside the x-ray table on the stool
The affected thumb should be rest on the table
The wrist and hand is externally rotate at 90 degree
The fingers are extend and the thumb is slightly separates as much as possible

POSITION OF CASSETTE
The cassette is placed under affected thumb
CENTERING
The central ray over the first metacarpo-phalangeal joint at the righr angle to the film

RADIOLOGICAL APPEARANCE
The first metacarpals and two phalanges are clearly seen

EXPOSURE
Distance: 90-100cm
Kv: 45-50
mAs: 2-4
Grid : no

3. LATERAL VIEW
INDICATION
Fracture and dislocation of thumb


CASSETTE SIZE
8x10


POSITION OF PATIENT

Patient seated beside the x-ray table on stool
The affected thumb should be rest on the table
The elbow is flexed so, the arm and hand can rest in prone position on the table

Position of cassette
The cassette is under the affected thumb

CENTERING
Central ray over the first metacarpo-phalangeal joint at right angle to the film

RADIOLOGICAL APPEARANCE
The first metacarpal with two phalanges is clearly seen

EXPOSURE
Distance: 90-100cm
Kv: 45-50
mAs : 4-6
Grid: no

FINGER
1. PA VIEW

INDICATION

To see the fracture and dislocation and any pathological condition



CASSETTE SIZE

8x10


POSITION OF PATIENT
Patient seated beside the x-ray table on stool

The affected finger should be rest on the table

The anterior surface of finger should be in contact with the cassette

The finger are separated to avoid superimposition

Position of cassette

The cassette is under the affected finger

CENTERING
Central ray over the interphalangeal joint at right angle to the film



RADIOLOGICAL APPEARANCE

The phalanges are clearly seen and metacarpo-phalangeal joint are visible


EXPOSURE

Distance: 90-100cm

Kv: 45-50
mAs : 2-4
Grid: no



3. Lateral view

INDICATION
To see the fracture and dislocation and any pathological condition

CASSETTE SIZE
8x10

POSITION OF PATIENT
Patient seated beside the x-ray table on stool
The affected finger should be rest on the table
Affected finger is extended and other fingers are flexed
The hand is rotated to bring the lateral surface of the finger is contact......