Foot and Ankle International
presents
Wheeless' Textbook of Orthopaedics

Radiographs for the Thumb Basal Joint




- Roberts View:
    - true AP view described by Roberts:
    - take AP view of thumb w/ forearm in maximal pronation & dorsum of
            thumb resting on the x-ray cassette;

- True Lateral of CMC:
    - obtained w/ forearm flat on table, hand pronated approx 20 deg w/
            thumb flat on cassette, & x-ray tube angled 10 deg from vertical in
            distal to proximal projection;
    - allows evaluation of metacarpal displacement;
            - estimates of the size and position of the volar fragment
            - estimates gap between fragment & metacarpal base;
    - Case Example:
            - 20 year old male who sustained extra-articular basal frx of thumb;
            - on AP and Oblique views the displacement is not impressive;
            - on a true lateral view, however, the indication for surgery is apparent;
             

           





Original Text by Clifford R. Wheeless, III, MD.