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Congress: ECR25
Poster Number: C-22298
Type: Poster: EPOS Radiologist (educational)
Authorblock: C. C. F. C. Ferreira, E. F. M. P. Negrao, G. Afonso, A. X. Francisco Mesquita, A. C. Afonso Silva; Porto/PT
Disclosures:
Catarina Costa Filipa Costa Ferreira: Nothing to disclose
Eduardo Francisco Miranda Peres Negrao: Nothing to disclose
Guilherme Afonso: Nothing to disclose
António Xavier Francisco Mesquita: Nothing to disclose
Ana Catarina Afonso Silva: Nothing to disclose
Keywords: Anatomy, Management, Musculoskeletal bone, Conventional radiography, Education, Education and training, Image verification
Learning objectives Describe the standard radiographs projections, highlighting their clinical significance and the criteria for assessing proper execution. Describe a systematic approach that incorporates measurements, normal anatomical variations, and common radiographic pitfalls to improve diagnostic accuracy.
Read more Background Hand and wrist radiographs are essential in diagnosing and managing a wide range of conditions, including traumatic (bone and ligament) and non-traumatic disorders (inflammatory, degenerative, metabolic, and neoplastic). Despite the advancement of other imaging techniques, conventional radiography remains a valuable and primary tool. When radiographs are properly positioned, accurate evaluations can often be made without the need for further studies [1,2].
Read more Findings and procedure details Wrist and hand x-ray projectionsThe standard wrist and hand radiographs projections includes posteroanterior, oblique, and lateral views [3,4]. Posteroanterior (PA) projection: The best for visualizing and inspecting bone alignment, the joint spaces of the carpal bones and the distal radioulnar joint. This projection is obtained with the shoulder abducted 90°, the elbow flexed at 90°, and the forearm in a pronated position, with the palm facing down [5]. Lateral projection: The essential view to assess the alignment of the radius, lunate, and...
Read more Conclusion Wrist and hand radiographs can be challenging to interpret due to the complex anatomical structures, normal variations, and the subtle nature of certain abnormalities. These complexities make the systematic interpretation of wrist radiographs a necessary skill. Mastering this approach not only improves diagnostic accuracy but also reduces reliance on more expensive imaging modalities.
Read more References 1. (Panwar, Jyoti et al. “Utility of Plain Radiographs in Metabolic Bone Disease - A Case-Based Pictorial Review from a Tertiary Centre.” Polish journal of radiology vol. 82 333-344. 25 Jun. 2017, doi:10.12659/PJR.901601); 2. Ory P. A. (2003). Radiography in the assessment of musculoskeletal conditions. Best practice & research. Clinical rheumatology, 17(3), 495–512. https://doi.org/10.1016/s1521-6942(03)00022-6 ) 3. Expert Panel on Musculoskeletal Imaging:, Rubin DA, Roberts CC, et al. ACR Appropriateness Criteria® Chronic Wrist Pain. J Am Coll Radiol. 2018;15(5S):S39-S55. doi:10.1016/j.jacr.2018.03.0214. Expert Panel on...
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