Normal hand radiograph on X‑ray: 3 real cases

Real, openly licensed radiographs showing normal hand radiograph. Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • Trace every cortex of the metacarpals and phalanges: no break, step or buckle.
  • Each joint is congruent; on the PA the carpometacarpal joints show parallel joint lines (an 'M' pattern).
  • Soft tissues show no swelling, gas or foreign body; nutrient canals can mimic fracture lines.

Learn: Hand fractures

Quiz yourself on upper limb images

Cases

Other upper limb diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.