Incidence 2 Premium Members

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Incidence Size movie P. patient P. Part Ray Central DFOF Collimation Note:
Fingers - (PA) 18 x 24 (transv.) Sitting in the Extremity of the table, elbows fletidosa about 90 ° with the hand and forearm resting on the table.

Pronated hand with the fingers straight.

Perpendicular, directed to 1FP. 1m Colimar 4 sides of the area of fingers. A possible alternative involves a routine movie mair to complete the entire hand for PA incidence of fingers in order to study possible secondary injuries.
Fingers - (PA Oblique - medial or lateral rotation) 18 x 24 (transv.) Sitting on the edge of the table with the elbow flexed approximately 90 degrees. Put your hand in a lateral position with the finger to be examined fully extended. Directed perpendicular to the joint 1 fp. 1m For the 2nd finger is a desirable side effect average, if the patient can take this position, place the 2nd finger in contact with the chassis.
Thumb - (AP) 18 x 24 (transv.) Sit the patient end of the table, arms extended forward with the hand rotation in supine position for the thumb to the incidence AP.

Internally rotate the hand with fingers extended to the posterior surface of the thumb is in contact with the film.

Centralizing the 1st OA joints.

Perpendicular, directed to the 1st OA joints. 1m PA exception: only if the patient is unable to position itself in the AP plane, placing a hand on a near side and support The bureaucrat in a block of sponge radiolucent, high enough to make the thumb assumes no oblique.
Thumb - (PA Oblique - Medial rotation) 18 x 24 (transv.) Sit the patient end of the table with the elbow flexed approximately 90 degrees, hand and wrist resting on the table. Slightly abduct the thumb, the palmar surface in contact with the chassis. (This action naturally places the thumb in an angle of 45). Perpendicular, directed the 1st OA joints. 1m
Thumb - (Profile) 18 x 24 (transv.) Sit the patient at the end of the table with the elbow flexed approximately 90 º Pronated hand, thumb abducted, fingers and hands slightly arched, then rotate the hand slightly to the medial side of the thumb to assume a true lateral position. Directed perpendicular to the 1st OA joints. 1m
Thumb (AP - Robert M. modified) 18 x 24 (transv.) Sit the patient end of the table with the hand and arm ectenção track. Internally rotate the arm until the posterior aspect of the thumb rests on the chassis. Direct the RC 15 proximally (toward the wrist, going by the 1st joint MCF). 1m

Pat. Denosntrada: this special focus Graduates fractures or dislocations of the 1st carpometacarpal joint (CMC) the base of the 1st metacarpal and Graduates by exception in fracture Benneti.

Rd. Graduates: basa of the 1st metacarpal and trapezium.

Hand - (PA) 24 x 30 (transv.) Sit the patient end of the table with the elbow flexed approximately 90 ° with the hand and forearm resting on the table. Pronated hand with the palmar surface supported on the chassis, open your fingers slightly. Perpendicular, directed the 3rd OA joints.1m Colimar 4 sides of the outer margins of the hand and wrist.
Hand - (PA Oblique) 24 x 30 (transv.) Sit the patient end of the table with the elbow flexed approximately 90 ° with the hand and wrist resting on the table. prone to hand over the chassis, rotate the hand and wrist side to 45 and hold a radiolucent wedge with fingers extended and slightly separated. Perpendicular, directed the 3rd OA joints 1m Exception: for a routine hand, use a block of support to position the fingers parallel to the film. This block prevents escorsamento phalanges obscorecimento the interphalangeal joints. If the interest is only the metacarpal image can be made with the thumb and the tip of outrtos fingers touching the chassis.
Hand - (lateral-medial "in Range") 18 x 24 (longit.) Sit the patient at the end of the table with the elbow flexed approximately 90 degrees. Rotate the hand and wrist to the lateral position with the thumb up. Separate the fingers and thumb in the position in range and support each finger on the block radiolucent Perpendicular, directed the 2nd OA joints. 1m Colimar 4 sides of the outer margins of the hand and wrist.

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