Wrist, hand and finger X-rays (scaphoid, bone age)

Wrist, hand and finger X-rays (scaphoid, bone age)

Wrist and hand X-rays in Tunis, Tunisia · Centre Urbain Nord

Wrist, hand, finger and scaphoid X-rays in Tunis: fall, fracture, arthritis, and bone age assessment in children.

What is it?

These X-rays show the bones of the wrist, hand and fingers. They are requested after a fall on the hand, a finger injury, or for joint pain or deformity. The scaphoid is a small wrist bone that is often fractured in a fall onto an outstretched hand. It has specific views; its fracture is sometimes invisible at first: if in doubt, your doctor may request a follow-up X-ray a few days later or another examination (CT scan, MRI). In children, an X-ray of the left hand is used to estimate bone age, meaning the maturity of the bones, when a doctor is monitoring growth. The examination may cover one side or both, from the front and/or the side.

When is it indicated?

Fall on the hand

It looks for a fracture of the wrist (radius) or the scaphoid.

Finger injury

It looks for a fracture or a small bone fragment pulled off in a finger.

Joint pain or deformity

It helps diagnose and monitor osteoarthritis or inflammatory arthritis.

Bone age in children

An X-ray of the left hand helps the doctor assess growth and puberty.

Preparation

1Tell us before the examination if you are pregnant or think you might be
2Remove rings, watch and bracelets; if a finger is swollen, tell us about a ring that is hard to remove
3This is a quick examination: no fasting or special preparation is usually needed
4Bring your referral and any previous X-rays or reports of the same area

Procedure

1

You sit next to the table with your hand flat on the plate

2

The hand is turned into different positions depending on the views requested

3

Several images may be taken from different angles, called "views": from the front, from the side (lateral), sometimes at an oblique angle

4

During each image you need to keep still for a few seconds; you may be asked to hold your breath

5

The radiographer checks that the images are sharp before you get dressed

6

After the examination, you can return to your usual activities straight away

Duration

About 5 to 10 minutes

Results

The images are analysed by a radiologist, who writes a report. It is given to you with the images and sent to your doctor, who will explain the results and the next steps. You will be told on the day of the examination when the results will be ready.

Precautions and contraindications

Low X-ray dose; an X-ray is painless and leaves nothing behind in the body
During pregnancy, X-rays are avoided, or carried out with precautions if they are really necessary
A scaphoid fracture may not be visible in the first days: follow the immobilisation and follow-up planned by your doctor
Only the position may be slightly uncomfortable if you are in pain or injured; the team adapts how you are positioned

Your doctor and the radiology team will inform you in detail before the examination. Feel free to ask them your questions.

This information is general and does not replace the advice of your doctor, who chooses the examination suited to your situation.

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