Fingers x-ray is an x-ray examination shown in case of suspected fractures and dislocations of the phalanges of the fingers of the hand, inflammatory and degenerative-dystrophic processes, neoplasms and purulent processes of this anatomical area. The standard study is performed in two projections (straight and lateral). Depending on the nature of the injury, the doctor may prescribe both radiography of all fingers of the hand, as well as pictures of one or two fingers. No special training is required. In childhood and during the period of carrying a child, it is recommended to replace the radiography of the fingers with an alternative technique (CT or MRI) to reduce or eliminate radiation exposure.
Indications
Fingers x-ray in traumatology is prescribed if fractures and dislocations of the phalanges of the fingers are suspected. In purulent surgery, suspicion of bone panaritium, the presence of infected wounds with possible damage to bone structures are considered as indications. In rheumatology, the technique is used to assess the condition of small joints when they are affected. In orthopedics, the study is carried out with malformations of the hand, in oncology – with tumor-like formations of this localization.
Methodology of conducting
When fingers x-ray, the patient’s hand is placed on the table, just as when taking pictures of the bones of the hand (direct projection – with the palm on the table, lateral – with the edge of the palm on the table). For a lateral X-ray of the first finger, the patient’s hand is placed with the palm on the table, for a direct image, the palm is turned up. Direct radiographs of the phalanges of the second-fifth fingers are performed by laying the hand palm down. To take a side shot of the second finger, the patient’s hand is placed on the rib, with the thumb at the bottom on the surface of the table, and the third, fourth and fifth fingers are bent into a fist. Lateral radiographs of the third, fourth and fifth fingers are made by placing the brush on the edge from the side of the little finger. The patient bends the remaining fingers with the other hand.
