What is the role of radiography in the workup of ulnar-sided wrist pain?

Updated: Nov 22, 2019
  • Author: David M Lichtman, MD; Chief Editor: Harris Gellman, MD  more...
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Answer

Answer

Routine radiographs should include posteroanterior (PA) and lateral views of the wrist. [17] The images should be obtained with the patient seated, the forearm in a neutral position, the elbow flexed to 90°, and the shoulder abducted to 90°. Other views are obtained on the basis of the clinical suspicion. The carpal tunnel view is useful to visualize the hook of hamate and the pisotriquetral pathology. An oblique view in 30° of pronation allows evaluation of the dorsal ulnar wrist. The reverse oblique view (30° of supination) allows evaluation of the volar ulnar aspect of the wrist, with a profile of the pisotriquetral joint.


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