RadSetu

X-ray Positioning

PA wrist

Radiographic projections, patient positioning and X-ray references.

Method & scope

Patient position

  • Seated at the end of the table, elbow flexed 90°, forearm and hand flat on the IR.
  • Hand pronated; fingers lightly flexed so the wrist and carpals touch the IR.
  • Shoulder, elbow and wrist on the same plane; no rotation.

Centering

Mid-carpal area.

Central ray

Perpendicular to the IR.

Source-to-image distance

100 cm (40″).

Image evaluation

  • No rotation: radioulnar joint open, ulnar styloid in profile
  • Intercarpal spaces open
  • Mid-carpals in the centre of the field