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Published on: October 10, 2020
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ACR Appropriateness Criteria® Chronic Elbow Pain.
, Jonelle M Thomas1, Eric Y Chang2
1Vice-Chair of Clinical Affairs; Director, Radiology Informatics; Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Journal of the American College of Radiology : JACR
|November 27, 2022
Summary
Imaging guidelines help diagnose chronic elbow pain causes. These evidence-based recommendations differentiate osseous, soft tissue, and nerve-related elbow conditions in adults.
Area of Science:
- Orthopedics
- Radiology
- Medical Imaging
Background:
- Chronic elbow pain has diverse etiologies including osseous, soft tissue, cartilaginous, and nerve-related causes.
- Accurate diagnosis is crucial for effective treatment of elbow pain.
- Imaging is a key diagnostic tool for differentiating these causes.
Framework:
- The American College of Radiology (ACR) Appropriateness Criteria provide evidence-based guidelines for medical imaging.
- These guidelines are updated annually by a multidisciplinary expert panel.
- Methodologies like Grading of Recommendations Assessment, Development, and Evaluation (GRADE) and the RAND/UCLA Appropriateness Method are employed.
Implementation:
- The ACR Appropriateness Criteria offer recommendations for imaging chronic elbow pain in adult patients.
- The process involves systematic analysis of peer-reviewed medical literature.
- Expert opinion serves as an evidentiary source when literature is limited or equivocal.
Implications:
- These guidelines aid clinicians in selecting appropriate imaging for chronic elbow pain.
- Facilitates accurate differentiation of pain etiologies.
- Supports evidence-based decision-making in elbow pain management.
