Fingers and thumb

Patient and part

Seat the patient at the end of the table with the elbow flexed 90 degrees. Each finger gets a PA, a PA oblique and a lateral. For the PA, the palm is flat with the fingers slightly apart. For the oblique, rotate the hand 45 degrees laterally and rest the finger on a step sponge so it stays parallel to the IR. For the lateral, put the finger closest to the IR to cut OID: the index finger thumb side down, the 3rd through 5th fingers little finger side down. Tape or fold the other fingers out of the way. The thumb gets an AP, a PA oblique and a lateral. For the AP, rotate the hand internally until the back of the thumb lies flat on the IR; hold the other fingers back with the opposite hand. A PA thumb is possible but adds OID and blur. With the palm flat on the IR the thumb falls naturally into a 45 degree oblique. For the lateral, arch the hand with the fingers flexed until the thumb is in a true lateral.