Upper limb radiography (pediatric)

Last revised by Jessica Hui Shi Ng on 12 Nov 2021

Upper limb radiography involves plain film imaging of the shoulder, humerus, ulna, radius, metacarpals and carpal bones in pediatric patients. Depending on the patients' age, the difficulty of the examination will vary, often requiring a specialist trained radiographer familiar with a variety of distraction and immobilization techniques. 

Patients should remove any clothing or jewelry on the affected upper limb. 

Often difficulties in imaging the pediatric upper limb radiography include:

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

  • distract the patient with toys, games and/or conversation
  • perform immobilization with blankets and velcro straps

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