Hand X-ray

Introduction

Hand X‑ray is one of the most common examinations after a fall, trauma, pain or swelling. To reliably identify fractures, dislocations and other injuries, the normal bony anatomy of the hand and wrist should first be known.

Röntgen

⬇ Download with labels

‹

1 / 3

›

dorsopalmarer (d.-p.)

Show labelsMagnifierDE/EN

Thumb peculiarity: The thumb has only two phalanges – the proximal phalanx and the distal phalanx – and no middle phalanx.

Parameter	View	Normal value / Normal finding	Why important?
Radial inclination (Radial inclination)	PA/AP	approx. 21–25°	distal radius fracture
Palmar tilt (Volar tilt / Palmar tilt)	lateral	approx. 10–15° volar	distal radius fracture

5 common injuries and fractures

1. Distal radius fracture

One of the most common fractures after a fall onto an outstretched hand.

2. Scaphoid fracture

Clinically particularly important, as the fracture may not always be clearly visible on the initial X‑ray.

3. Metacarpal fracture

A typical example is a fracture of the 5th metacarpal, especially at the neck (“boxer’s fracture”).

4. Finger fracture

Can affect the proximal, middle or distal phalanx.

5. Dislocation of a finger joint

In addition to fractures, malalignments and joint dislocations should always be assessed after trauma.