Abstract
Traumatic shoulder pain is pain directly attributed to a traumatic event, either acute or chronic. This pain may be the result of either fracture (the clavicle, scapula, or proximal humerus) or soft-tissue injury (most commonly of the rotator cuff, acromioclavicular ligaments, or labroligamentous complex). Imaging assessment of traumatic shoulder pain begins with conventional radiography and, depending on physical examination findings, will require MRI or MR arthrography for assessment of soft-tissue injuries and CT for delineation of fracture planes. Ultrasound excels in assessment of rotator cuff injuries but has limited usefulness for assessment of the deep soft-tissues. CT angiography and conventional arteriography are helpful for assessment of vascular injury, and bone scintigraphy can be used in assessment of complex regional pain syndrome after traumatic shoulder injury. 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.
| Language | English |
|---|---|
| Pages | S171-S188 |
| Journal | Journal of the American College of Radiology |
| Volume | 15 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 1 2018 |
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Keywords
- Appropriate Use Criteria
- Appropriateness Criteria
- Arterial injury
- AUC
- Complex regional pain syndrome
- Labral tear
- Rotator cuff tear
- Shoulder pain
- Trauma
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
ACR Appropriateness Criteria® Shoulder Pain–Traumatic. / Expert Panel on Musculoskeletal Imaging:.
In: Journal of the American College of Radiology, Vol. 15, No. 5, 01.05.2018, p. S171-S188.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - ACR Appropriateness Criteria® Shoulder Pain–Traumatic
AU - Expert Panel on Musculoskeletal Imaging:
AU - Amini, Behrang
AU - Beckmann, Nicholas M.
AU - Beaman, Francesca D.
AU - Wessell, Daniel E.
AU - Bernard, Stephanie A.
AU - Cassidy, R. Carter
AU - Czuczman, Gregory J.
AU - Demertzis, Jennifer L.
AU - Greenspan, Bennett S.
AU - Khurana, Bharti
AU - Lee, Kenneth S.
AU - Lenchik, Leon
AU - Motamedi, Kambiz
AU - Sharma, Akash
AU - Walker, Eric A.
AU - Kransdorf, Mark J.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Traumatic shoulder pain is pain directly attributed to a traumatic event, either acute or chronic. This pain may be the result of either fracture (the clavicle, scapula, or proximal humerus) or soft-tissue injury (most commonly of the rotator cuff, acromioclavicular ligaments, or labroligamentous complex). Imaging assessment of traumatic shoulder pain begins with conventional radiography and, depending on physical examination findings, will require MRI or MR arthrography for assessment of soft-tissue injuries and CT for delineation of fracture planes. Ultrasound excels in assessment of rotator cuff injuries but has limited usefulness for assessment of the deep soft-tissues. CT angiography and conventional arteriography are helpful for assessment of vascular injury, and bone scintigraphy can be used in assessment of complex regional pain syndrome after traumatic shoulder injury. 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.
AB - Traumatic shoulder pain is pain directly attributed to a traumatic event, either acute or chronic. This pain may be the result of either fracture (the clavicle, scapula, or proximal humerus) or soft-tissue injury (most commonly of the rotator cuff, acromioclavicular ligaments, or labroligamentous complex). Imaging assessment of traumatic shoulder pain begins with conventional radiography and, depending on physical examination findings, will require MRI or MR arthrography for assessment of soft-tissue injuries and CT for delineation of fracture planes. Ultrasound excels in assessment of rotator cuff injuries but has limited usefulness for assessment of the deep soft-tissues. CT angiography and conventional arteriography are helpful for assessment of vascular injury, and bone scintigraphy can be used in assessment of complex regional pain syndrome after traumatic shoulder injury. 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.
KW - Appropriate Use Criteria
KW - Appropriateness Criteria
KW - Arterial injury
KW - AUC
KW - Complex regional pain syndrome
KW - Labral tear
KW - Rotator cuff tear
KW - Shoulder pain
KW - Trauma
UR - http://www.scopus.com/inward/record.url?scp=85046977420&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85046977420&partnerID=8YFLogxK
U2 - 10.1016/j.jacr.2018.03.013
DO - 10.1016/j.jacr.2018.03.013
M3 - Article
VL - 15
SP - S171-S188
JO - Journal of the American College of Radiology
T2 - Journal of the American College of Radiology
JF - Journal of the American College of Radiology
SN - 1558-349X
IS - 5
ER -