Xray Upper Limb Technique

This image has been taken

• AP (PD)

• PA (DP)

• With too much rotation

• With too little rotation

To best image the scaphoid

• A straight tube, with ulnar deviation

• Approx 20* tube angle to the elbow, with ulnar deviation

• Approx 20* tube angle to the phalanges, with deviation

• Approx 20* tube angle to the elbow, with radial deviation

This image is

• Perfect

• Pronated a bit too much

• Supinated a bit too much

• Limited by pathology

This image has probably been taken with

• The wrist poorly positioned

• The elbow too low

• The elbow too high

• The tube angled 45* to the shoulder

This image can be improved by

• Raising the wrist

• Lowering the wrist

• Tube angled to the shoulder

• Tube angled away from the shoulder

This image

• Is well positioned

• Requires the wrist to be raised

• Requires the wrist to be lowered

• Requires tube angle towards the shoulder

This image

• Is well positioned

• Has cut off required anatomy

• Requires the tube to be angled caudad

• Requires the patient to be further obliqued

This image

• Is well positioned

• Has cut off required anatomy

• Requires the tube to be angled cephalad

• Requires the patient to be further obliqued

This image

• Is well positioned

• Has cut off required anatomy

• Requires the tube to be angled cephalad

• Is well positioned, but requires better collimation

This image

• Is well positioned

• Has cut off required anatomy

• Requires the tube to be angled cephalad

• Requires the tube to be angled caudad