Journal article
ACR Appropriateness Criteria ® on Acute Shoulder Pain
Journal of the American College of Radiology, Vol.8(9), pp.602-609
2011
DOI: 10.1016/j.jacr.2011.05.008
PMID: 21889746
Abstract
The shoulder joint is a complex array of muscles, tendons, and capsuloligamentous structures that has the greatest freedom of motion of any joint in the body. Acute (<2 weeks) shoulder pain can be attributable to structures related to the glenohumeral articulation and joint capsule, rotator cuff, acromioclavicular joint, and scapula. The foundation for investigation of acute shoulder pain is radiography. Magnetic resonance imaging is the procedure of choice for the evaluation of occult fractures and the shoulder soft tissues. Ultrasound, with appropriate local expertise, is an excellent evaluation of the rotator cuff, long head of the biceps tendon, and interventional procedures. Fluoroscopy is an excellent modality to guide interventional procedures. Computed tomography is an excellent modality for characterizing complex shoulder fractures. Computed tomographic arthrography or fluoroscopic arthrography may be alternatives in patients for whom MR arthrography is contraindicated. A multimodal approach may be required to accurately assess shoulder pathology. The ACR Appropriateness Criteria ® are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
Details
- Title: Subtitle
- ACR Appropriateness Criteria ® on Acute Shoulder Pain
- Creators
- James N Wise - University of Kentucky, Lexington, KentuckyRichard H Daffner - Allegheny General Hospital, Pittsburgh, PennsylvaniaBarbara N Weissman - Brigham and Women's Hospital, Boston, MassachusettsLaura Bancroft - Florida Hospital, Orlando, FloridaD. Lee Bennett - University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IowaJudy S Blebea - Cleveland Clinic, Cleveland, OhioMichael A Bruno - Penn State Milton S. Hershey Medical Center, Hershey, PennsylvaniaIan Blair Fries - Bone, Spine and Hand Surgery, Chartered, Brick, New JerseyJon A Jacobson - University of Michigan Medical Center, Ann Arbor, MichiganJonathan S Luchs - Metropolitan Diagnostic Imaging Group, Manhattan, Queens and Long Island, New YorkWilliam B Morrison - Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaCharles S Resnik - University of Maryland School of Medicine, Baltimore, MarylandCatherine C Roberts - Mayo Clinic, Phoenix, ArizonaMark E Schweitzer - University of Ottawa, Ottawa, Ontario, CanadaLeanne L Seeger - David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CaliforniaDavid W Stoller - California Pacific Medical Center, San Francisco, CaliforniaMihra S Taljanovic - University of Arizona Health Sciences Center, Tucson, Arizona
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.8(9), pp.602-609
- DOI
- 10.1016/j.jacr.2011.05.008
- PMID
- 21889746
- NLM abbreviation
- J Am Coll Radiol
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 2011
- Academic Unit
- Radiology
- Record Identifier
- 9983983650902771
Metrics
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