![]() ![]() Conclusions: Understanding the epidemiology and impact of hand and wrist injuries in MLB and MiLB players may lead to improved management of these injuries and reduce time away from play. The hand is not a technically challenging radiograph, always ensure the fingers are equal distance apart and the detector is high enough to avoid overlap at the wrist.Īlways include the wrist joint on your PA radiograph, patients may have referred pain from pathology other than the hand. Injuries that most frequently required surgical intervention were hook of hamate fractures (72) and scaphoid fractures (60). The concavity of the metacarpal shafts is equal 1. Interphalangeal and metacarpophalangeal joint spaces of digits 2 to 5 appear open. Proximal to include distal radioulnar jointĭistal to the tips of the distal phalangesĥth finger is positioned PA, with no rotation as evidenced by the symmetric appearance of the concavities of the phalanges. The hand and elbow should be at shoulder height which makes radius and ulna parallel (lowering the arm makes radius cross the ulna and thus relative shortening of radius) Shoulder, elbow, and wrist should all be in the transverse plane, perpendicular to the central beam The affected hand is placed, palm down on the image receptor The affected arm if possible is flexed at 90° so the arm and hand can rest on the table This view complements the ball-catcher view as it is particularly useful for diagnosing early signs of rheumatoid arthritis and osteoarthritis in the metacarpals, carpal bones and distal radio ulnar joint. The PA hand view is requested for diagnosing a variety of clinical indications such as rheumatoid arthritis, osteoarthritis, suspected fracture or dislocation and localizing foreign bodies. ![]()
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