Hands, Dorsal (1:10 Horizontal)

Patient position: The patient sits or stands with his or her hands placed on a flat surface such as a mayo stand. Alternatively, the patient may stand behind a gurney with the head elevated at 45°, placed the hands flat on the inclined surface. The fingers should be spaced evenly. A pencil or pen may be used as a spacer.

Background: A uniform background is desired. A black, blue, or gray color is ideal; however, white is acceptable.

Film: ASA 100 or 200 Ektachrome.

Exposure setting: Aperture priority mode with an aperture setting of f11 or smaller (f16 or f22).

Reproduction ratio: 1:10.

Camera position: The camera is held in the horizontal format on a plane parallel to the dorsal hands.

Flash position: The flash is held off-camera along the bottom of the barrel of the lens directed at the hands.

Plane of focus: At the level of the hands or pathology.

Tips: A precise reproduction ratio of 1:10 is obtained by placing the camera on manual focus, moving the focus ring to a reproduction ratio of 1:10, moving the camera closer to or farther from the subject until the hands are in sharp focus, and shooting the photograph. Ensure that the camera is on a plane parallel to the hands. 

Common mistakes: Leaving the flash in the hot shoe does not evenly illuminate the hands and casts unwanted shadows. With the flash placed under the barrel of the lens, the shadows fall underneath the hands out of sight. Remove distractions such as clothing, patient ID bracelet, and jewelry from the field of view unless they are part of the pathology or injury. Using the automatic or program exposure modes may produce photographs with poor depth of field.

 

 

Hand, Dorsal (1:8 Vertical)

Patient position: The patient sits or stands with his or her hand placed on a flat surface such as a mayo stand. Alternatively, the patient may stand behind a gurney with the head elevated at 45°, placed the hand flat on the inclined surface. The fingers should be spaced evenly. A pencil or pen may be used as a spacer.

Background: A uniform background is desired. A black, blue, or gray color is ideal; however, white is acceptable.

Film: ASA 100 or 200 Ektachrome.

Exposure setting: Aperture priority mode with an aperture setting of f11 or smaller (f16 or f22).

Reproduction ratio: 1:8.

Camera position: The camera is held in the vertical format on a plane parallel to the dorsal hand.

Flash position: The flash is held off-camera along the bottom of the barrel of the lens directed at the hand.

Plane of focus: At the level of the hand or pathology.

Tips: A precise reproduction ratio of 1:8 is obtained by placing the camera on manual focus, moving the focus ring to a reproduction ratio of 1:8, moving the camera closer to or farther from the subject until the hand is in sharp focus, and shooting the photograph. Ensure that the camera is on a plane parallel to the hand. 

Common mistakes: Leaving the flash in the hot shoe does not evenly illuminate the hand and casts unwanted shadows. With the flash placed under the barrel of the lens, the shadows fall underneath the hands out of sight. Remove distractions such as clothing, patient ID bracelet, and jewelry from the field of view unless they are part of the pathology or injury. Using the automatic or program exposure modes may produce photographs with poor depth of field.

 

 

Hand, Radial (1:8 Vertical)

Patient position: The patient sits or stands with his or her hand in the position of function with the ulnar surface placed on a flat surface such as a mayo stand . Alternatively, the patient may stand behind a gurney with the head elevated at 45°, placing the hand on the inclined surface.

Background: A uniform background is desired. A black, blue, or gray color is ideal; however, white is acceptable.

Film: ASA 100 or 200 Ektachrome.

Exposure setting: Aperture priority mode with an aperture setting of f11 or smaller (f16 or f22).

Reproduction ratio: 1:8.

Camera position: The camera is held in the vertical format on a plane parallel to the radial aspect of the hand.

Flash position: The flash is held off-camera along the bottom of the barrel of the lens directed at the hand.

Plane of focus: At the level of the hand or pathology.

Tips: A precise reproduction ratio of 1:8 is obtained by placing the camera on manual focus, moving the focus ring to a reproduction ratio of 1:8, moving the camera closer to or farther from the subject until the hand is in sharp focus, and shooting the photograph. Ensure that the camera is on a plane parallel to the hand. 

Common mistakes: Leaving the flash in the hot shoe does not evenly illuminate the hand and casts unwanted shadows. With the flash placed under the barrel of the lens, the shadows fall underneath the hands out of sight. Remove distractions such as clothing, patient ID bracelet, and jewelry from the field of view unless they are part of the pathology or injury. Using the automatic or program exposure modes may produce photographs with poor depth of field.

 

 

Hands, Palmar (1:10 Horizontal)

Patient position: The patient sits or stands with his or her hands placed palms up on a flat surface such as a mayo stand . Alternatively, the patient may stand behind a gurney with the head elevated at 45°, placing the hands flat on the inclined surface. The fingers are spaced evenly. A pencil or pen may be used as a spacer.

Background: A uniform background is desired. A black, blue, or gray color is ideal; however, white is acceptable.

Film: ASA 100 or 200 Ektachrome.

Exposure setting: Aperture priority mode with an aperture setting of f11 or smaller (f16 or f22).

Reproduction ratio: 1:10.

Camera position: The camera is held in the horizontal format on a plane parallel to the palmar hands.

Flash position: The flash is held off-camera along the bottom of the barrel of the lens directed at the hands.

Plane of focus: At the level of the hands or pathology.

Tips: A precise reproduction ratio of 1:10 is obtained by placing the camera on manual focus, moving the focus ring to a reproduction ratio of 1:10, moving the camera closer to or farther from the subject until the hands are in sharp focus, and shooting the photograph. Ensure that the camera is on a plane parallel to the hands. 

 

Common mistakes: Leaving the flash in the hot shoe does not evenly illuminate the hand and casts unwanted shadows. With the flash placed under the barrel of the lens, the shadows fall underneath the hands out of sight. Remove distractions such as clothing, patient ID bracelet, and jewelry from the field of view unless they are part of the pathology or injury. Using the automatic or program exposure modes may produce photographs with poor depth of field.

 

 

Hand, Palmar (1:8 Vertical)

Patient position: The patient sits or stands with his or her hands placed palms up on a flat surface such as a mayo stand . Alternatively, the patient may stand behind a gurney with the head elevated at 45°, placing the hand flat on the inclined surface. The fingers are spaced evenly. A pencil or pen may be used as a spacer.

Background: A uniform background is desired. A black, blue, or gray color is ideal; however, white is acceptable.

Film: ASA 100 or 200 Ektachrome.

Exposure setting: Aperture priority mode with an aperture setting of f11 or smaller (f16 or f22).

Reproduction ratio: 1:8.

Camera position: The camera is held in the vertical format on a plane parallel to the palmar hand.

Flash position: The flash is held off-camera along the bottom of the barrel of the lens directed at the hand.

Plane of focus: At the level of the hand or pathology.

Tips: A precise reproduction ratio of 1:8 is obtained by placing the camera on manual focus, moving the focus ring to a reproduction ratio of 1:8, moving the camera closer to or farther from the subject until the hand is in sharp focus, and shooting the photograph. Ensure that the camera is on a plane parallel to the hand. 

Common mistakes: Leaving the flash in the hot shoe does not evenly illuminate the hand and casts unwanted shadows. With the flash placed under the barrel of the lens, the shadows fall underneath the hands out of sight. Remove distractions such as clothing, patient ID bracelet, and jewelry from the field of view unless they are part of the pathology or injury. Using the automatic or program exposure modes may produce photographs with poor depth of field.

 

 

Hand, Ulnar (1:8 Vertical)

Patient position: The patient sits or stands with his or her hand in the position of function with the radial surface placed on a flat surface such as a mayo stand. Alternatively, the patient may stand behind a gurney with the head elevated at 45°, placing the hand flat on the inclined surface. 

Background: A uniform background is desired. A black, blue, or gray color is ideal; however, white is acceptable.

Film: ASA 100 or 200 Ektachrome.

Exposure setting: Aperture priority mode with an aperture setting of f11 or smaller (f16 or f22).

Reproduction ratio: 1:8.

Camera position: The camera is held in the vertical format on a plane parallel to the ulnar aspect of the hand.

Flash position: The flash is held off-camera along the bottom of the barrel of the lens directed at the hand.

Plane of focus: At the level of the hand or pathology.

Tips: A precise reproduction ratio of 1:8 is obtained by placing the camera on manual focus, moving the focus ring to a reproduction ratio of 1:8, moving the camera closer to or farther from the subject until the hand is in sharp focus, and shooting the photograph. Ensure that the camera is on a plane parallel to the hand. 

Common mistakes: Leaving the flash in the hot shoe does not evenly illuminate the hand and casts unwanted shadows. With the flash placed under the barrel of the lens, the shadows fall underneath the hands out of sight. Remove distractions such as clothing, patient ID bracelet, and jewelry from the field of view unless they are part of the pathology or injury. Using the automatic or program exposure modes may produce photographs with poor depth of field.