4.4k views
1 vote
what carpal bones are best demonstrated on the AP oblique projection of the wrist in medial rotation?

1 Answer

3 votes

Final answer:

In the AP oblique projection of the wrist with medial rotation, the scaphoid, trapezium, trapezoid, and parts of the hamate bones are best demonstrated. This view is particularly useful for diagnosing scaphoid fractures, which are common and require careful attention due to poor blood supply to the bone.

Step-by-step explanation:

The AP oblique projection of the wrist in medial rotation is best for demonstrating certain carpal bones. This imaging technique is often used to reveal the intricate structure of the wrist and is particularly useful for diagnosing fractures or other pathological conditions. In an AP oblique projection with medial rotation, also known as internal rotation, the bones best visualized include the scaphoid, trapezium, trapezoid, and parts of the hamate.

The scaphoid bone, often involved in wrist injuries and fractures, is the most frequently fractured carpal bone and can be clearly seen in this view. It is essential to properly visualize this bone because it has a poor blood supply, making healing challenging and increasing the risk of bone necrosis and degenerative joint disease.

A mnemonic that can be useful for remembering the order of the carpal bones, starting from the thumb side laterally, is "So Long To Pinky, Here Comes The Thumb", with the bones in the proximal row listed as scaphoid, lunate, triquetrum, and pisiform; reversing direction for the distal row as hamate, capitate, trapezoid, and trapezium.

User Abhishekh Gupta
by
8.2k points