ACR Appropriateness Criteria Acute Hip Pain—Suspected Fracture

Ward, Robert James; Weissman, Barbara N.; Kransdorf, Mark J.; Adler, Ronald S.; Appel, Marc; Bancroft, Laura W.; Bernard, Stephanie A.; Bruno, Michael A.; Fries, Ian Blair; Morrison, William B.; Mosher, Timothy J.; Roberts, Catherine C.; Scharf, Stephen C.; Tuite, Michael J.; Zoga, Adam C.

doi:10.1016/j.jacr.2013.10.023

Cited by 30 publications

(8 citation statements)

References 61 publications

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“…However, it is well established that patients with clinically suspected proximal femur fracture often have fractures of the pelvis, including the sacrum and pubic rami [21,[27][28][29][30]. Therefore, it has been recommended that the radiographic series include the AP view of the pelvis along with the orthogonal views of the symptomatic hip [31]. The inclusion of a pelvis radiograph also allows for comparison of potential abnormalities to the contralateral asymptomatic side.…”

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

“…Moreover, these pelvic fractures may occur in isolation or concomitant with a fracture of the proximal femur [28]. Therefore, it has been recommended that the radiographic series include both the AP view of the pelvis along with orthogonal views of the symptomatic hip [31]. The inclusion of a pelvis radiograph also allows for comparison of potential abnormalities to the contralateral asymptomatic side.…”

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

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ACR Appropriateness Criteria® Acute Hip Pain-Suspected Fracture

Ross

Lee

Chang

et al. 2019

Journal of the American College of Radiology

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Acute hip pain following a low-force trauma such as a ground-level fall is a common clinical problem. In the elderly osteoporotic population, this is frequently the result of fractures of the proximal femur or pelvis. As physical examination is often inconclusive, imaging is critical for diagnosis. Radiographs are the preferred first-line imaging modality, although their sensitivity is limited for nondisplaced fractures and further imaging may be necessary as discussed in this article and summarized in the recommendations.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

Section: Discussion Of Procedures By Variantmentioning

confidence: 99%

ACR Appropriateness Criteria® Acute Hip Pain-Suspected Fracture

Ross

Lee

Chang

et al. 2019

Journal of the American College of Radiology

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“…Unfortunately fractures can occur, and hip fractures are among the most frequent and devastating of all fractures, particularly in women and the elderly [2,3]. The mortality rate within the first year after a hip fracture may reach up to 30%, which is considerably higher than the mortality rate of breast cancer [4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional adiabatic inversion recovery prepared ultrashort echo time cones (3D IR-UTE-Cones) imaging of cortical bone in the hip

Nazaran

Carl²,

et al. 2017

Magnetic Resonance Imaging

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“…Positron emission tomography with computerized tomography (PET/CT) has also shown a promising role in addition to the Tc-99m methyl di-phosphonate (MDP) bone scan (bone scan). [4] We present an unusual case, where the diagnosis of AVN was clinched on the bone scan.…”

Section: Introductionmentioning

confidence: 99%

Avascular necrosis of talus diagnosed on Tc-99m MDP bone scan

et al. 2017

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Avascular necrosis (AVN) of bone is defined as the cellular death of bone components due to the interruption of the blood supply; the bone structures then collapse, resulting in pain and loss of joint function. Magnetic resonance imaging (MRI) is the gold standard to diagnose AVN. We present an unusual case of AVN of talus in a patient of thalassemia major that was diagnosed on the Tc-99m MDP bone scan with equivocal findings on MRI.Key Message: The diagnosis of AVN is primarily done using radiological investigations. However, the bone scan plays a role in the diagnosis in atypical presentations and should be considered when MRI is equivocal.

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ACR Appropriateness Criteria Acute Hip Pain—Suspected Fracture

Cited by 30 publications

References 61 publications

ACR Appropriateness Criteria® Acute Hip Pain-Suspected Fracture

ACR Appropriateness Criteria® Acute Hip Pain-Suspected Fracture

Three-dimensional adiabatic inversion recovery prepared ultrashort echo time cones (3D IR-UTE-Cones) imaging of cortical bone in the hip

Avascular necrosis of talus diagnosed on Tc-99m MDP bone scan

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