Wrist series (pediatric)

The wrist series for pediatrics often consist of a posteroanterior and lateral view only in order to minimize radiation dose to the patient. Depending on departmental protocols, the oblique view may also be included as a standard view. 

  • trauma with suspected fracture
  • suspected dislocation
  • foreign body detection

Patients should remove any jewelry on the hand and wrist. 

The use of gonadal and fetal shielding has been deemed as non-beneficial to patients' health in current evidences 1-3 and should not be used during plain film imaging on pediatric patients. Shielding can obscure anatomical regions of interest, resulting in a repeated examination or compromised diagnosis.

The major difficulty in pediatric wrist radiography relates to:

To overcome this, a variety of techniques can be used:

  • distract the patient with toys, games and/or conversation
  • using the swaddling technique; wrap the child in a blanket to promote comfort and sleep
  • have the child sit on the parent's lap to ensure they are comfortable

Children may find it difficult to keep their wrist still; particularly if injured. One option is to have a parent or radiographer hold the child's proximal forearm and fingers to keep the wrist motionless and in place. However, immobilization techniques will vary from department to department. 

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Article information

rID: 75048
System: Paediatrics
Section: Radiography
Synonyms or Alternate Spellings:
  • wrist radiograph paed
  • wrist x ray paediatric

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