ACR Appropriateness Criteria® Chronic Wrist Pain

Expert Panel on Musculoskeletal Imaging, David A. Rubin, Catherine C. Roberts, Jenny T. Bencardino, Angela M. Bell, R. Carter Cassidy, Eric Y. Chang, Soterios Gyftopoulos, Darlene F. Metter, William B. Morrison, Naveen Subhas, Siddharth Tambar, Jeffrey D. Towers, Joseph S. Yu, Mark J. Kransdorf

Research output: Contribution to journalArticle

Abstract

Radiographs are indicated as the first imaging test in all patients with chronic wrist pain, regardless of the suspected diagnosis. When radiographs are normal or equivocal, advanced imaging with MRI (without or without intravenous contrast or following arthrography), CT (usually without contrast), and ultrasound each has a role in establishing a diagnosis. Furthermore, these examinations may contribute to staging disease, treatment planning, and prognostication, even when radiographs are diagnostic of a specific condition. Which examination or examinations are best depends on the specific location of pain and the clinically suspected conditions. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

LanguageEnglish (US)
PagesS39-S55
JournalJournal of the American College of Radiology
Volume15
Issue number5
DOIs
StatePublished - May 1 2018

Fingerprint

Wrist
Chronic Pain
Guidelines
Arthrography
Expert Testimony
Radiology
Therapeutics
Pain

Keywords

  • Appropriate Use Criteria
  • Appropriateness Criteria
  • AUC
  • Carpal tunnel syndrome
  • Chronic pain
  • Ganglion cyst
  • Ligament
  • Wrist
  • Wrist joint

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

ACR Appropriateness Criteria® Chronic Wrist Pain. / Expert Panel on Musculoskeletal Imaging.

In: Journal of the American College of Radiology, Vol. 15, No. 5, 01.05.2018, p. S39-S55.

Research output: Contribution to journalArticle

Expert Panel on Musculoskeletal Imaging. / ACR Appropriateness Criteria® Chronic Wrist Pain. In: Journal of the American College of Radiology. 2018 ; Vol. 15, No. 5. pp. S39-S55.
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