Hand radiograph (checklist)
The hand radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Hand radiographs in an exam setting will have been primarily performed because of a history of pain or trauma. Bilateral studies will be used when assessing for an arthropathy.
Alignment
- dorsal intercalated segment instability (DISI)
- volar intercalated segment instability (VISI)
- scapholunate interval widening
- scaphoid nonunion advanced collapse (SNAC)
- dislocated 5th carpometacarpal joint
- perilunate dislocation
- lunate dislocation
Wrist
- rheumatoid arthritis
- osteoarthritis
- haemophilic arthropathy
- pseudogout
- fracture
- hypertrophic osteoarthropathy
Carpal bones
- scaphoid fracture
- lunate AVN
- hook of hamate fracture
- enchondroma
- triquetrum fracture
- scaphotrapeziotrapezoidal (STT or triscaphe) joint arthropathy
- four-corner fusion
- carpal coalition
Metacarpal/ MCPJs
- Bennett fracture
- Rolando fracture
- boxers fracture
- skier thumb
- osteoporosis
- melorheostosis
- carpal bossing
Fingers
- volar plate avulsion
- bony mallet avulsion
- acromegaly
- hyperparathyroidism
- erosive osteoarthritis
- reactive arthritis
- psoriatic arthritis
Soft tissue
See also
