ACR AC Portal

Home Osteomyelitis or Septic Arthritis-Child (Excluding Axial Skeleton)

Variants

Child. Younger than 5 years of age. Concern for osteomyelitis or septic arthritis involving an extremity. Initial radiographs normal, or with findings suggestive of osteomyelitis. Next imaging study.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Osteomyelitis suspected, forearm, radiography normal, next imaging study

3194983

US forearm

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Image-guided aspiration elbow

Varies

Usually appropriate

Image-guided aspiration wrist

Varies

Usually appropriate

MRI forearm without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI upper extremity without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI upper extremity without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Bone scan whole body and 3-phase bone scan forearm

3-10 mSv [ped]
☢☢☢☢

May be appropriate

MRI forearm without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI whole body without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI whole body without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

CT forearm with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT forearm without and with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT forearm without IV contrast

0.1-1mSv
☢☢

Usually not appropriate