Radiographic Technique

Radiographic Technique Toolkit for radiographers with simplified bitesize information, cheat sheets and guids for Standard X-ray Views/Projections in Clinical Practice.

Hand

ViewsJustification
Routine Projections: DP, DP ObliqueStandard initial assessment for trauma, arthritis, osteomyelitis, foreign body detection, tumour evaluation, and joint immobility.
Additional Views:
– LateralFor detailed evaluation in cases of trauma, particularly dislocations, or when a finger fracture is suspected.
– Ball catcher viewSpecifically for hyperparathyroidism; used on specialist referral.
– Stress viewFor assessing lesion progression, especially in post-op cases.
– TangentialIdeal for detecting foreign bodies and assessing surface bone lesions.

Wrist

ViewsJustification
Routine Projections: DP, LateralStandard initial assessment for trauma, rickets, osteochondritis, osteomyelitis, arthritis, foreign body detection, and tumour evaluation.
Additional Views:
– Clenched fist (DP and Lateral)For detailed joint space evaluation, especially in orthopedic referrals.
– Clenched fist (lunate) – AP ObliqueFocused on lunate assessment, often in cases of trauma or disease.
– Carpal tunnel viewsSpecifically for diagnosing carpal tunnel syndrome.

Scaphoid

ViewsJustification
Routine Projections: DP with ulnar deviation, DP oblique, PD oblique, LateralStandard initial assessment for trauma, osteochondritis, osteomyelitis, and assessing alignment and healing.
Additional Views:
– Ziter’s (“banana”) viewSpecific for detailed scaphoid analysis in trauma cases and for follow-up examinations.

Radius and Ulna

ViewsJustification
Routine Projections: AP, LateralStandard initial assessment for trauma, crepitus, possible osteomyelitis, alignment/healing, tumour, soft tissue swelling, bony swelling, and pain associated with any of the above conditions.
Additional Views:
ConedFocused imaging of a specific area, typically for detailed evaluation of suspected fractures or lesions.
TangentialFor detailed surface assessment, particularly when a foreign body is suspected or for evaluating complex fractures.