Wrist radiograph (checklist)

The wrist 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

Wrist radiographs in an exam setting will have been primarily performed because of a history of pain or trauma. 

Alignment

• dorsal intercalated segment instability (DISI)
• volar intercalated segment instability (VISI)
• scapholunate interval widening 
  • scapholunate advanced collapse (SLAC)
• scaphoid nonunion advanced collapse (SNAC)
• dislocated 5th carpometacarpal joint
• perilunate dislocation
• lunate dislocation
• Galeazzi fracture-dislocation

Distal radius

• fracture
  • die-punch fracture
  • Smith fracture
  • Colles fracture
  • Salter-Harris fracture
• hypertrophic osteoarthropathy

Distal ulna

• positive ulnar variance
• negative ulnar variance

Wrist joint/ capsule​

• rheumatoid arthritis
• osteoarthritis
• haemophilic arthropathy
• pseudogout

Carpal/ metacarpal bones

• scaphoid fracture
• lunate AVN
• enchondroma
  • Mazabraud syndrome
  • Ollier disease
• triquetrum fracture
• scaphotrapeziotrapezoidal (STT or triscaphe) joint arthropathy
• four-corner fusion
• carpal coalition
• Rolando fracture
• Bennett fracture
• osteoporosis
• melorheostosis
• carpal bossing

Soft tissue

• gout
• scleroderma

See also

• wrist radiograph (an approach)
• wrist radiograph (pediatrics)