THE ORDER OF THE PROCEDURE
a. Remove artifacts.
b. Measure part.
c. Set control panel.
d. Technical Factors: Film size-14 x 17 inches lengthwise.
a)
Divide in half lengthwise.
b)
Detail screen, tabletop.
e. LM:
f. Patient/Part position: patient seated at end of table with hand and arms fully extended. (palm up
or supinated).
a)
Drop shoulder to place entire upper limb on same plane.
b)
Align and center forearm to the long axis of unmasked portion of film.
c)
Have patient lean laterally as necessary to place entire wrist, forearm and elbow in
as near a true AP position as possible. (Styloid processes and epicondyles will be
equidistant to film borders).
g. CR: CR perpendicular to film, directed
h. SID:
to mid forearm.
Minimum 40"
borders to the actual forearm area;
and at both ends collimate to avoid
cutting off anatomy at either joint.
Ensure that a minimum of 1" distal to
wrist and 1" proximal to elbow joint
are included on the film.
j. Immobilization:
Pre exposure instructions: Hold still; don't move.
k. Shielding: Place lead shield over patient's lap to shield gonads.
l. Demonstrates: Entire radius and ulna, proximal row of carpals, elbow and distal end of humerus in
the AP projection.
MD0961
5-22