Wrist Oblique
Position the Patient
- Seated at table
- Place wrist on IR
- Rotate wrist 45° externally
- (use sponge if needed)
Words That Work
“Rest your hand and wrist palm-down on the plate. Lift the thumb side until your hand is halfway between flat and on its side—like starting to shake hands, then stopping halfway. Keep your hand and wrist together while I support the position.”
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Oblique wrist positioning
Set Up the Shot
- Center here
- Central ray
- Mid‑carpal area
- Include this in the field
- Collimation
- Distal forearm to mid‑metacarpals
- Set the distance
- SID
- 40"
- Check the technique
- Technique
- 55-60 kVp
- Follow facility protocols
Common Pitfalls
- •Incorrect obliquity (not 45°)
- •Carpals obscured by overlap
Evaluate the Image
What should be visible?
- Carpals
- Distal radius and ulna
- Proximal metacarpals
Does the image pass?
- ✓45° oblique shown
- ✓Carpals demonstrated
- ✓Distal radius and ulna included