Change: The radiographer should have a high level of willingness to undertake what would normally be considered poor quality radiography in order to demonstrate a suspected pathology. The off-lateral projection is a case-in-point.... doctrinaire thinking can be at the detriment of the diagnosis.DiscussionThe radial and ulnar   View changes from previous version. (Word count: 2074)

Change: This 10 year old boy presented to the Emergency Department after a fall from his pushbike and was referred for wrist radiography. On examination, he had a painful wrist.The PA wrist shows no evidence of displaced fractureThere oblique wrist projection image shows no evidence of displaced fracture The   View changes from previous version. (Word count: 2003)

Change: The radiographer thought that the patient had sustained a wrist fracture based on clinical evidence (pain, swelling, limitations of movement). The radiographic evidence of wrist fracture on the routine projection images was inconclusive- on balance, supplementary projections were warrantedCase 2This 14 year old boy   View changes from previous version. (Word count: 1795)

Change: Moved by AndyC Feb 8 2010, 2:43 AM EST

Change: a very subtle buckle in the radial aspect ofdof the radial metaphysis.There is an even more subtle defect in trhethe radial meta[hysismetaphysis demonstrated on the lateral wrist image.The findings are consistent with a subtle buckle fracture of the wristT1 weighted MRI   View changes from previous version. (Word count: 1648)

Change: T1 weighted MRI image with transverse irregular low T1 band consistent with the fracture seen on the plain film images. DiscussionThe radial and ulnar cortical contours should appears as smoothly curved lines on plain film   View changes from previous version. (Word count: 1620)

Change: The patient's symptoms persisted. The referring doctor considered that the patient may have sutained a fractured scaphoid. The patient was referred for MRI scanning which revealed a radial metaphasis transverse fracture. DiscussionThe radial and ulnar cortical contours should appears as   View changes from previous version. (Word count: 1535)

Change: There were only format changes (bold, italics, etc.) in this version. See this version for details. (Word count: 1513)

Change: There were only format changes (bold, italics, etc.) in this version. See this version for details. (Word count: 1513)

Change: There is a loss of continuity of the dorsal aspect of the radial metaphysis. There also appears to be a pronator quadratus soft tissue sign. The finding were considered to be equivocal and the patient was referred for MRI which revealed a radial metaphasis transverse fracture. DiscussionThe radial   View changes from previous version. (Word count: 1513)