ACR AC Portal

Home Chronic Hand and Wrist Pain

Variants

Adult. Chronic hand or wrist pain. Radiographs normal or indeterminate. Symptoms suspicious for carpal tunnel syndrome. Next imaging study.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Hand pain, chronic, carpal tunnel syndrome suspected, radiography normal, next imaging study

3128528

US hand

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI hand without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

Radiographic arthrography hand

<0.1 mSv
☢

Usually not appropriate

Radiography wrist additional views

<0.1 mSv
☢

Usually not appropriate

MR arthrography hand

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI hand without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT hand with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT hand without and with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT hand without IV contrast

<0.1 mSv
☢

Usually not appropriate

CT arthrography hand

0.1-1mSv
☢☢

Usually not appropriate

Bone scan hand

1-10 mSv
☢☢☢

Usually not appropriate