Wrist radiographs are typically obtained in a PA (posterior-to-anterior) projection with the forearm pronated and the palm down. PA views best show carpal spacing and scaphoid alignment; dedicated scaphoid or ulnar-deviated PA views may be added. AP views are less common and used only when the patient cannot pronate or for specific clinical reasons. Lateral and oblique views complete the series.

Standard wrist X‑ray views are PA (posteroanterior), lateral and oblique (45°) projections. PA shows carpal alignment and distal radius/ulna; lateral evaluates sagittal alignment and volar/dorsal displacement; oblique highlights the scaphoid and intercarpal joints. For suspected scaphoid fractures, a dedicated scaphoid (ulnar‑deviation PA) view or CT/MRI may be added.

An AP (anteroposterior) X‑ray view is taken with the X‑ray beam entering the front (anterior) of the patient and exiting the back (posterior), usually with the detector behind the back. It’s used when a PA view isn’t possible (for example, supine or portable exams). AP images can produce magnification, often making structures like the heart and mediastinum appear larger.

For routine wrist X‑rays: PA (posteroanterior) — patient pronates the hand, palm flat on the detector, fingers slightly flexed, forearm and wrist on the same plane with elbow about 90°. Lateral — elbow flexed 90°, ulnar side against the detector, wrist in neutral (thumb pointing up). Oblique (45°) and scaphoid (ulnar deviation) views may be added as needed.

To distinguish AP from PA chest X‑rays: check the image marker and patient position notes. AP (common in portable/supine exams) shows apparent cardiomegaly from magnification, clavicles more horizontal, and scapulae often projected over the lungs. PA (standard erect) shows less cardiac magnification, clavicles angled downward, and scapulae rotated lateral to the lung fields.

For suspected wrist fracture, a standard three‑view X‑ray series — posteroanterior (PA/AP), lateral and oblique — is best. The lateral view is especially important to assess displacement, dorsal/volar tilt and joint alignment; the PA and oblique views show fracture lines, shortening and involvement of the distal radius, ulna and carpal bones. Scaphoid views or CT may be added if needed.