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, tibia fibula, findings suggestive of osteomyelitis on radiography, next imaging study

3195095

Image-guided aspiration ankle

Varies

Usually appropriate

Image-guided aspiration knee

Varies

Usually appropriate

MRI lower extremity without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lower extremity without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lower leg without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

MRI lower leg without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US lower leg

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body and 3-phase bone scan leg

3-10 mSv [ped]
☢☢☢☢

May be appropriate

3-phase bone scan leg

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 lower leg with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT lower leg without and with IV contrast

0.1-1mSv
☢☢

Usually not appropriate

CT lower leg without IV contrast

0.1-1mSv
☢☢

Usually not appropriate