THE ORDER OF THE PROCEDURE
a. Remove artifacts.
b. Measure part.
c. Set control panel.
d. Technical Factors: Film size-10 x 12" (24 x 30 cm) crosswise
1. Divide film in half crosswise
1. Detail screen table top
2. 60 kVp range
f. Patient/Part position: Patient seated at end of table with elbow flexed about 90 degrees with hand
and wrist resting on cassette, palm down.
1. Drop shoulder or raise table height so shoulder, elbow and wrist are on the same horizontal
2. Align long axis of hand and forearm to center of the long axis of the unmasked half of the
cassette, with carpal area to center of unmasked film.
3. With hand pronated, slightly clench fist to place wrist and carpal area in close contact with
g. CR: CR perpendicular to film, directed to mid
all four sides of wrist, including
distal radius, ulna, and
j. Immobilization: Pre exposure instructions: Hold still; don't move
k. Shielding: Place lead shield over patient's lap to shield gonads.
l. Demonstrates: Mid and proximal metacarpals, carpals, distal radius, ulna and associated joints of
the wrist in the true PA position.