ACR AC Portal

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

Variants

Child. 5 years of age or older. 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, wrist, radiography normal, next imaging study

3195051

Image-guided aspiration wrist

Varies

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

MRI wrist without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI wrist without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US wrist

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body and 3-phase bone scan wrist

3-10 mSv [ped]
☢☢☢☢

May be appropriate

3-phase bone scan wrist

1-10 mSv
☢☢☢

May be appropriate

Bone scan whole body

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

May be appropriate

MRI whole body without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

MRI whole body without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

CT wrist with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT wrist without and with IV contrast

<0.1 mSv
☢

Usually not appropriate

CT wrist without IV contrast

<0.1 mSv
☢

Usually not appropriate