Digits (2nd to 5th) LATERAL PROJECTION

Lateromedial or mediolateral

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Can be: ______________ or _______________

Seat the patient at the end

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of patient

  • ______________ of the radiographic table.

Demonstrate with your own finger

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  1. Because lateral digit positions are difficult to hold, tell the patient how the digit is adjusted on the IR, and ____________.

     Let the patient assume the most comfortable arm position.

Close the rest of the digits into a fist

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  2. Ask the patient to extend the digit to be examined. ______________, and hold them in complete flexion with the thumb.

Sandbags or provide other suitable support

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  3. Support the elbow on ____________ when the elbow mu t be elevated to bring the digit into position.

Medial, or ulnar, surface

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  4. With the digit under examination extended and other digits folded into a fist,

     Have the patient's hand rest on the lateral, or radial surface for the second or third digit or on the ____________ for the fourth or fifth digit

Parallel with the long axis

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  5. Before making the final adjustment of the digit position, place the lR so that the midline of its unmasked portion is ____________ of the digit. Center the IR to the PIP joint.

Second and fifth digits

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  6. Rest the __________ directly on the lR,

Elevate the third and fourth digits

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  6. Rest the second and fifth digits directly on the lR, but for an accurate image of the bones and joints, _______________ and place their long axes parallel with the plane of the IR.

     A radiolucent sponge may be used to support the digits.

Radiolucent sponge

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  6. Rest the second and fifth digits directly on the lR, but for an accurate image of the bones and joints, elevate the third and fourth digits and place their long axes parallel with the plane of the IR.

     A _______________ may be used to support the digits.

Adhesive tape, a tongue depressor, or other support

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  7. Immobilize the extended digit by placing a strip of _____________ against its palmar surface. The patient can hold the support with the opposite hand.

Opposite hand

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  7. Immobilize the extended digit by placing a strip of adhesive tape, a tongue depressor, or other support against its palmar surface.

     The patient can hold the support with the _____________.

True lateral position

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  8. Adjust the anterior or posterior rotation of the hand to obtain a ______________ of the digit.

Shield gonads

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Position of part

  9. ______________

Perpendicular

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Central ray

  • ____________ to the PIP joint of the affected digit.

Collimate

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Central ray

  • ___________ to the digit being examined.

True lateral position

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Evaluation Criteria

  The following should be clearly demonstrated:

  • Entire digit in a ______________:

Fingernail in profile

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Evaluation Criteria

  The following should be clearly demonstrated:

  • Entire digit in a true lateral position:

    • __________, if visualized and normal

Concave, anterior surfaces

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Evaluation Criteria

  The following should be clearly demonstrated:

  • Entire digit in a true lateral position:

    • ________,__________ of the phalanges

No rotation

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Evaluation Criteria

  The following should be clearly demonstrated:

  • ________ of the phalanges

Proximal phalanx or MCP joint

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Evaluation Criteria

  The following should be clearly demonstrated:

  • No obstruction of the __________ or ___________ by adjacent digits

Open

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Evaluation Criteria

  The following should be clearly demonstrated:

  • ______ interphalangeal joint spaces

Bony trabeculation

Digits (Second Through Fifth)

⁂ LATERAL PROJECTION

Lateromedial or mediolateral

• Evaluation Criteria

  The following should be clearly demonstrated:

  • Soft tissue and _____________