Scaphoid - Lateral

Radiographic Positioning

Adult

Other related pages of interest Applied Radiography Radiographic Anatomy Radiographic Protocols

Name of projection	Scaphoid Lateral View
Area Covered	Entire scaphoid bone
Pathology shown	Fracture, dislocation, foreign body, infection, tumour, arthritis, see scaphoid radiography
Radiographic Anatomy	Wrist Radiographic Anatomy
IR Size & Orientation	18 x 24cm
Film / Screen Combination	Detail (CR and DR as recommended by manufacturer)
Bucky / Grid	No
Filter	No
Exposure	53 kVp 4mAs
FFD / SID	100 cm
Central Ray	Directed to the mid-carpal area Perpendicular to the IR
Collimation	Centre: Mid-carpal area Shutter A: Half the metacarpals to one quarter of distal radius and ulna Shutter B: Skin margin
Markers	Distal and Lateral Marker orientation AP
Shielding	Gonadal (check your department's policy guidelines)
Respiration	Not applicable
Positioning	Patient seated at end of table Elbow flexed 90° Abduct humerus so it is parallel with IR Hand and wrist on IR Hand and wrist in lateral position, thumb up
Critique PACEMAN	Positioning The wrist in a lateral position demonstrated by: Super-imposition of distal end of scaphoid and pisiform Super-imposition of the radius and ulna Long axis of first metacarpal is aligned parallel with forearm Ulna styloid in profile posteriorly Trapezium with no super-imposition of first metacarpal Area Covered Distal radius and ulna, carpals, mid metacarpal area Collimation Centre: Mid-carpal area Shutter A: Half the metacarpals to one quarter of distal radius and ulna Shutter B: Skin margin Exposure Bony trabecular patterns and cortical outlines are sharply defined Soft tissues are visualised Sufficient contrast and density to demonstrate posterior fat stripe
Special Notes