A radiolucent orthopedic chuck includes a housing having a driver stem protruding from the top surface and a drill bit protruding from the underside in radially spaced relation from the driver stem so as to displace a drill secured to the driver stem from the axis of the drill bit so that fluoroscopy may be used to ensure accurate alignment of the drill bit with a hole of an intramedullary nail both prior to and during its operation. A drive train interconnects the driver stem and drill bit for rotation in unison. All parts of the chuck but for the drill bit preferably radiolucent.