![]() Offer to move things around to assist in positioning - simple things like lowering/raising the table can go a long way and result in a better experience for the patient. It is important to remember this when examining your patient, as it is easy to forget that simply lifting your hand up and placing it on an image receptor could result in substantial pain. More often than not, the pain has not been addressed yet. The navicular bone in humans is located on the medial side of the foot, and articulates proximally with the talus, distally with the three cuneiform bones, and laterally with the cuboid. Ulnar deviation is necessary as it moves the scaphoid away from the radius and rotates it in the palmer aspect, minimizing superimposition and achieving a pure PA projection 1-3. Patients with a fractured scaphoid will be in a lot of pain so deviating their hand to the ulna can be quite a task only deviate the hand as much as the patient can bear it. The term navicular bone or hand navicular bone was formerly used for the scaphoid bone, 1 one of the carpal bones of the wrist. In a follow-up radiograph, coning down to the scaphoid is favored. concavity of the metacarpal shafts is equal 2Īs scaphoid fractures are associated with FOOSH injuries, it is desirable in the acute setting to collimate to include the wrist in the PA view, covering all areas around the scaphoid that could be the source of pain. ![]() articulation between the distal radius and the ulna is open or has little superimposition.minor superimposition of the metacarpal bases.hand is in ulnar deviation with little superimposition over the scaphoid bone.proximal to the include one-quarter of the distal radius and ulna.distal to the midway up the metacarpals.
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