The hand radiograph checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed; this is particularly helpful in the examination setting, e.g. the FRCR 2B rapid-reporting.
Radiograph
Hand radiographs in an exam setting will have been primarily performed because of a history of pain or trauma. Bilateral studies will be used when assessing for an arthropathy.
Alignment
- dorsal intercalated segment instability (DISI)
- volar intercalated segment instability (VISI)
- scapholunate interval widening
- scaphoid nonunion advanced collapse (SNAC)
- dislocated 5th carpometacarpal joint
- perilunate dislocation
- lunate dislocation
Wrist
- rheumatoid arthritis
- osteoarthritis
- haemophilic arthropathy
- pseudogout
- fracture
- hypertrophic osteoarthropathy
Carpal bones
- scaphoid fracture
- lunate AVN
- hook of hamate fracture
- enchondroma
- triquetrum fracture
- scaphotrapeziotrapezoidal (STT or triscaphe) joint arthropathy
- four-corner fusion
- carpal coalition
Metacarpal/ MCPJs
- Bennett fracture
- Rolando fracture
- boxers fracture
- skier thumb
- osteoporosis
- melorheostosis
- carpal bossing
Fingers
- volar plate avulsion
- bony mallet avulsion
- acromegaly
- hyperparathyroidism
- erosive osteoarthritis
- reactive arthritis
- psoriatic arthritis