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This video will demonstrate four projections of the wrist, PA, PA oblique, lateral, and ulnar deviation.

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The patient will be seated at a 90 degree angle to the table.

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The elbow will be flexed 90 degrees.

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First projection will be the PA projection where we center the wrist to the image receptor.

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Central ray is perpendicular to the mid-carpal.

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We're going to have the patient flex the fingers to reduce OID, collimate to include proximal

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half of metacarpals and distal one inch of the ulna and radius.

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Left wrist, we'll place our left marker lateral to the extremity.

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The next projection will be a PA oblique with lateral rotation and it's a 45 degree rotation.

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The wrist is still centered at the mid-carpal, central ray perpendicular entering mid-carpal.

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Collimation again will include proximal half of metacarpals and distal one inch of the

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ulna and radius, left marker on the lateral aspect of the wrist. Next projection is going

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to be a lateral projection of the wrist and it will be a lateral medial projection. Make

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sure that the ulna and radius are superimposed. The thumb should be adducted. Central ray

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is perpendicular to mid-carpal. Marker is placed anterior to the wrist. Again the

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collimation includes proximal, half of the metacarpals, distal one inch of the

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ulnar radius. The next projection, move the patient around, is going to be ulnar

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deviation. So we'll place the palmar surface down. Then we're going to create as much angle

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between the metacarpals and the ulna and radius as possible. Central ray is going to be perpendicular

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to the scaphoid or navicular because we're trying to demonstrate the scaphoid without

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self-superimposition. If the patient cannot deviate appropriately, we can angle the central

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ray 10 to 15 degrees, proximally or distally, still entering the scaphoid or navicular.

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Place your left marker on the image receptor.