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, hand, radiography normal, next imaging study

3195057

Image-guided aspiration hand

Varies

Usually appropriate

MRI hand without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI hand without 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

US hand

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body and 3-phase bone scan hand

3-10 mSv [ped]
☢☢☢☢

May be appropriate

3-phase bone scan hand

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 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