ACR AC Portal

Home Chronic Shoulder Pain

Variants

Chronic shoulder pain. Suspect adhesive capsulitis. Initial radiographs normal or inconclusive. Next imaging study.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Shoulder pain, chronic, adhesive capsulitis suspected, radiography inconclusive, next imaging study

3195935

Image-guided anesthetic +/- corticosteroid injection shoulder or surrounding structures

Varies

Usually appropriate

MRI shoulder without IV contrast

0 mSv
O

0 mSv [ped]
O

Usually appropriate

US shoulder

0 mSv
O

0 mSv [ped]
O

May be appropriate
(Disagreement)

MR arthrography shoulder

0 mSv
O

0 mSv [ped]
O

May be appropriate

Radiography shoulder additional views

<0.1 mSv
☢

Usually not appropriate

MRI shoulder without and with IV contrast

0 mSv
O

0 mSv [ped]
O

Usually not appropriate

Bone scan shoulder

1-10 mSv
☢☢☢

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

CT arthrography shoulder

10-30 mSv
☢☢☢☢

Usually not appropriate

FDG-PET/CT skull base to mid-thigh

10-30 mSv
☢☢☢☢

3-10 mSv [ped]
☢☢☢☢

Usually not appropriate