ACR Appropriateness Criteria® Shoulder Pain–Traumatic

Expert Panel on Musculoskeletal Imaging:, Behrang Amini, Nicholas M. Beckmann, Francesca D. Beaman, Daniel E. Wessell, Stephanie A. Bernard, R. Carter Cassidy, Gregory J. Czuczman, Jennifer L. Demertzis, Bennett S. Greenspan, Bharti Khurana, Kenneth S. Lee, Leon Lenchik, Kambiz Motamedi, Akash Sharma, Eric A. Walker, Mark J. Kransdorf

Research output: Contribution to journalArticle

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.

LanguageEnglish
PagesS171-S188
JournalJournal of the American College of Radiology
Volume15
Issue number5
DOIs
StatePublished - May 1 2018

Fingerprint

Soft Tissue Injuries
Shoulder Pain
Guidelines
Complex Regional Pain Syndromes
Pain
Arthrography
Scapula
Clavicle
Rotator Cuff
Vascular System Injuries
Humerus
Expert Testimony
Ligaments
Radiology
Radiography
Radionuclide Imaging
Physical Examination
Angiography
Bone and Bones
Therapeutics

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 journalArticle

Expert Panel on Musculoskeletal Imaging:. / ACR Appropriateness Criteria® Shoulder Pain–Traumatic. In: Journal of the American College of Radiology. 2018 ; Vol. 15, No. 5. pp. S171-S188.
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