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Hand & Hand-Bone Age

DHAND1-2V
DHAND3V

HAND

ROUTINES: PA, Oblique & Lateral.

DISTANCE: 40”

BUCKY: No

FOCAL SPOT: Small

IMAGING PLATE: CR – do each view individually on an 8x10 cassette.

CENTRAL RAY: Perpendicular to 3rd MP joint.

ADDITIONAL COMMENTS:

  1. ARTHRITIS: Each hand done PA on separate cassettes to include wrists. Run under ARTHRITIC HAND on CR menu.
  2. LATERAL: Fan out fingers.

SEE ALSO/OTHER VIEWS:

  1. Brewerton view-AP Hand with wrist lifted off of table so fingers are flat, palm should be lifted 45-60°. Central ray angled 15° toward the 5th digit.- (throwing the 5th digit away from the hand - see attached x-ray.)

Updated 10/18/1990


DHANDBA

HAND-Bone Age

If the child is under 2yrs, do the PA left hand to include wrist first. If you see the development of 2 bones in the wrist, you are done. If not, do an AP view of the left clavicle to wrist on one cassette & an external oblique of the left mid-femur to the big toe.

ROUTINES: PA LEFT Hand (to include Wrist)

DISTANCE: 40”

BUCKY: No

FOCAL SPOT: Small

IMAGING PLATE: 8x10 CR cassette

CENTRAL RAY: Perpendicular the 3rd MP joint.

ADDITIONAL COMMENTS:
1. Run under ARTHRITIC HAND on CR menu.

Updated 8/5/2007

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