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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 or septic arthritis suspected, shoulder, findings suggestive of osteomyelitis on radiography, next imaging study

3195024

US shoulder

0 mSv
O

0 mSv [ped]
O

Usually appropriate

Image-guided aspiration shoulder

Varies

Usually appropriate

MRI shoulder 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 shoulder

3-10 mSv [ped]
☢☢☢☢

May be appropriate

MRI shoulder 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 shoulder with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT shoulder without and with IV contrast

1-10 mSv
☢☢☢

Usually not appropriate

CT shoulder without IV contrast

1-10 mSv
☢☢☢

Usually not appropriate