Finger/Thumb/Hand

Pathology

100

Degenerative joint disease

Osteoarthritis 

200

Infection of the bone marrow

Osteomyelitis 

300

Loss of bone density

Osteoporosis 

400

Abnormal condition of stone-like bones

Osteopetrosis 

500

Chronic bone disease characterized by the excessive breakdown of bone tissue, followed by abnormal bone formation

Paget's Disease 

Fractures

100

Fracture resulting from severe stress 

Avulsion Fracture 

200

Comminuted fracture of distal phalanx 

Tuft (Burst) Fracture 

300

Fracture of the 5th metacarpal 

*Extra 100: What projection it is best seen on?

Boxer's Fracture 

*Lateral Hand 

400

Fracture at base of 1st metacarpal 

*Extra 100: what projection is it best seen on?

Bennett's Fracture 

*PA Oblique Hand

500

Sprain or tear of the ulnar collateral ligament

*Extra 100: What projection is it best seen on?  

Skier's Thumb 

*Bilateral stress projection of thumb 

Anatomy & Landmarks

100

What bones make up the forearm? 

Radius and ulna 

200

What are the wrist bones collectively called? 

Carpals 

300

What is the rounded end of the distal phalanx called? 

Tuft 

400

What is the proximal portion of the metacarpal called? 

Base 

500

What is the distal portion of the metacarpal called?

Head 

Phalanges and Digits

100

How many metacarpals make up one hand? 

5 

200

How many phalanges are in one hand? 

14 

300

How many phalanx are in digits 2-5?

*Extra 100: What are all the names?

3 

*Proximal phalanx, middle phalanx, distal phalanx 

400

What is the joint between the proximal and distal phalanx in digit 1 called?

Interphalangeal joint

500

What is the joint at the base of the first metacarpal called? 

Saddle (sellar) joint 

Projections

100

What is the SID for all finger/thumb/hand exams? 

40 SID

200

Where is the centering point for a PA finger XR? 

*Extra 100: what is the full name (not the abbreviation) and spell it correctly

Direct to PIP joint

Proximal interphalangeal joint 

300

What is the degree of rotation for a PA Oblique hand? 

*Extra 100: Is it medial or lateral rotation? 

45 degrees 

Lateral rotation 

400

Demonstrate and explain an AP Thumb image 

*Extra 100: is the hand internally or externally rotate? 

Rotate your hand 90 degrees so the posterior side of the thumb is in contact with the plate / the anterior side of the thumb is facing the tube

*Internally 

500

Name the four main clinical indications we are looking for fall all finger/thumb/hand projections 

1. Fractures 

2. Dislocations 

3. Osteoporosis 

4. Osteoarthritis