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 or septic arthritis suspected, elbow, radiography normal, next imaging study

3195062

Image-guided aspiration elbow

Varies

Usually appropriate

MRI elbow without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI elbow 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 elbow

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body and 3-phase bone scan elbow

3-10 mSv [ped]
☢☢☢☢

May be appropriate

3-phase bone scan elbow

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 elbow with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT elbow without and with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT elbow without IV contrast

0.1-1mSv
☢☢

Usually not appropriate