ACR AC Portal

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

Variants

Child. With one or more clinical signs concerning for septic arthritis. Initial radiographs normal or demonstrating possible joint effusion. Next imaging study.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Septic arthritis suspected, shoulder, radiography normal, next imaging study

3195104

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 shoulder without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI upper extremity without and with IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

MRI upper extremity without IV contrast

0 mSv
O

0 mSv [ped]
O

May be appropriate

Bone scan whole body and 3-phase bone scan shoulder

3-10 mSv [ped]
☢☢☢☢

Usually not 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

3-phase bone scan shoulder

1-10 mSv
☢☢☢

Usually not appropriate

Bone scan whole body

1-10 mSv
☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not 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