THE ORDER OF THE PROCEDURE
a. Remove artifacts.
b. Measure part.
c. Set control panel.
c. Technical Factors: 1. Film size: 8 x 10" (18 x 24 cm) cassette, LW.
2. Detail screen, tabletop.
3. 54 - 64 kVp range.
e. Patient/Part position: Patient seated at end of table with elbow flexed about 90 degrees
with hand and forearm resting on table.
1. Align long axis of hand and forearm to long axis of film with center
of film to MP joints.
2. Rotate hand and wrist into lateral position with thumb side up.
3. Spread fingers and thumb into a "fan" position and support each
digit on radiolucent step block as shown (see page 120 of
Bontrager). Ensure all digits including thumb are parallel to film
and that the metacarpals are not oblique but remain in the true
g. SID: Minimum 40"
f. CR: CR perpendicular to film,
directed to the 2nd MP joint.
four sides to outer margins of
hand and wrist.
j. Shielding: Place lead shield over patient's lap to shield gonads.
k. Demonstrates: Phalanges, metacarpals and carpals superimposed in a LAT position,
except for the thumb, which is shown in the true PA projection.