Wrist PA Ulnar Deviation
Position the Patient
- Seated at table
- Place wrist flat on IR
- Turn hand toward ulna (pinky side)
Words That Work
“Place your hand and wrist flat on the plate with your palm down. Slide your hand sideways toward your pinky—like a windshield wiper moving across the table—without lifting or turning your wrist. Move only as far as comfortable and hold still.”
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PA ulnar deviation positioning
Set Up the Shot
- Center here
- Central ray
- Scaphoid
- 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
- •Insufficient ulnar deviation (scaphoid foreshortened)
- •Rotation
- •Wrist not flat on IR
Evaluate the Image
What should be visible?
- Scaphoid
- Carpals
- Distal radius and ulna
Does the image pass?
- ✓Scaphoid clearly demonstrated
- ✓No rotation
- ✓Distal radius and ulna included