Hand (PA view)
Updates to Article Attributes
Hand PA viewis a standard projection for radiographic assessment of the hand.
Patient position
- patient is made to sit alongside the X-ray table
- forearm is pronated and palmar surface of hand and extended fingers is kept in contact with the
cassettecassette/FPDs
X-ray beam features
Collimation:
To include the entire hand, including approximately 1 cm of the distal forearm, centring approximately over the third metacarpal head.
Marker placement: AP, lateral and distal
Grid: no
SID: 100 cm
Exposure factors: 50 kV, 1.6 mAs
Please note:These are average exposures using a Siemens DR system. Exposures may vary between different CR or DR systems and with different patient body habitus.
Image critique
(Figure 2)
Collimation
Entire hand is visualised to distal forearm (see Figure 1).
Positioning
5th finger is positioned PA, with no rotation as evidenced by the symmetric appearance of the concavities of the phalanges. Interphalangeal and metacarpophalangeal joint spaces of digits 2 to 5 appear open.
Exposure
Appropriate exposure evidenced by adequate bony detail visible in entire hand, with soft tissue also visualised clearly.
-<p><strong>Hand PA view </strong>is a standard projection for radiographic assessment of the <a href="/articles/hand-series">hand</a>.</p><h4>Patient position</h4><ul>- +<p><strong>Hand PA view </strong>is a standard projection for radiographic assessment of the <a href="/articles/hand-series">hand</a>.</p><h4>Patient position</h4><ul>
-<li>forearm is pronated and palmar surface of hand and extended fingers is kept in contact with the cassette/<a href="/articles/flat-panel-detectors">FPDs</a> </li>- +<li>forearm is pronated and palmar surface of hand and extended fingers is kept in contact with the cassette/<a href="/articles/flat-panel-detectors">FPDs</a> </li>
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